Individual provider Active NPI

Melissa Wummel, LMSW

  • Clinical Social Worker
  • Center Line, MI
National Provider Identifier
1982055943
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099432 Issued in MI
Practice address
26522 Van Dyke Ave
Center Line, MI 48015-1221
Phone
(800) 395-3223
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099432 MI Primary

Addresses

Primary practice location

26522 Van Dyke Ave
Center Line, MI 48015-1221

Mailing address

935 W Oakridge St
Ferndale, MI 48220-2754
Phone (586) 582-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204002542 MI Practitioner - Clinical Social Worker 5991049819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ismail B Sendi MD PCGroup PAC ID 4688674534, 72 clinicians
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

26522 Van Dyke Ave
Center Line, MI 48015-1221
Phone (800) 395-3223

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone (586) 469-7229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099432MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ismail B. Sendi, MD, PC CurrentSince Sep 1, 2024 Accepting new patients
County of Macomb CurrentSince Feb 27, 2025 Accepting new patients
County of Macomb CurrentSince Feb 27, 2025 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

26522 Van Dyke Ave
Center Line, MI 48015
Phone (586) 759-4400

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1982055943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 W OAKRIDGE ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202754",
            "telephone_number": "586-582-0500",
            "fax_number": "586-834-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26522 VAN DYKE AVE",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151221",
            "telephone_number": "800-395-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUMMEL",
        "first_name": "MELISSA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.