Active NPI
Nicole M Minty, LMSW
- Social Worker
- Troy, MI
National Provider Identifier
1982940839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801094535
- Practice address
- 89 W South Blvd Ste 200
Troy, MI 48085-1612 - Phone
- (800) 693-1916
- Fax
- (248) 605-3525
- NPI assigned
- Dec 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801094535 | MI | Primary |
Addresses
Primary practice location
89 W South Blvd Ste 200
Troy, MI 48085-1612
Mailing address
89 W South Blvd Ste 200
Troy, MI 48085-1612
Phone (800) 693-1916
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
89 W S Blvd
200 Great Lakes Psychology Group
Troy, MI 48085-1612
Phone (800) 693-1916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current | Accepting new patients |
Locations
89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840
2250 Butterfield Dr
Ste 150
Troy, MI 48084
Phone (248) 963-1916
89 W South Blvd
Troy, MI 48085
Phone (248) 891-2607
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
- Psychiatry Physician
- Livonia, MI
- NPI 1588038343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1982940839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W SOUTH BLVD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480851612",
"telephone_number": "800-693-1916",
"fax_number": "248-605-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W SOUTH BLVD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480851612",
"telephone_number": "800-693-1916",
"fax_number": "248-605-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTY",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-21",
"last_updated": "2022-08-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801094535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.