Indira Hall, L.M.S.W, LCSW, M.A.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801035457 Issued in MI

Practice address

4523 Highland Rd
Waterford, MI 48328-1132

Phone

(248) 470-3003

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Keith R. Hall Professional name

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Holistic Social Services, Inc.

  • Clinical Social Worker
  • Berkley, MI
  • NPI 1659731875
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1992101810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281132",
            "telephone_number": "248-470-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281132",
            "telephone_number": "248-470-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "INDIRA",
        "credential": "L.M.S.W, LCSW, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801035457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992101810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEITH",
            "last_name": "HALL",
            "middle_name": "R.",
            "prefix": "MR.",
            "credential": "LLMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melanie Anne Hager
• Margaret Eugenia Haglund, R.N., M.S.N., FNP-BC
• Mary Frances Halfpenny, RN
• Nestor Halicki, D.O.
• Chad Patrick Hall, CPSS
• Jonathan Edward Hall
• Hallett Chiropractic
• Robert B Hallett, D.C.
• Kelly Lynn Hamilton
• Kimberly Hamilton

• Clinical Social Worker in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.

Verify at the official NPI Registry.