Individual provider Active NPI

Sharon Jane Jamali, L.M.S.W.

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1992170419
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
681064525 Issued in MI
Practice address
2301 S Huron Pkwy
Suite 1C.
Ann Arbor, MI 48104-5133
Phone
(586) 229-7812
NPI assigned
Dec 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 681064525 MI Primary

Addresses

Primary practice location

2301 S Huron Pkwy
Suite 1C.
Ann Arbor, MI 48104-5133

Mailing address

PO Box 81936
Rochester, MI 48308-1936
Phone (248) 981-7138

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
I20160411002160 MI Practitioner - Clinical Social Worker 5496053266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heidi'S Counseling Services, PCGroup PAC ID 8022180793, 2 clinicians

Practice addresses (Care Compare)

30521 Schoenherr Rd
Warren, MI 48088-3161
Phone (248) 224-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
681064525MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi'S Counseling Services, PC Clinical CurrentSince Apr 1, 2021 Accepting new patients

Locations

30521 Schoenherr Rd
Warren, MI 48088
Phone (248) 224-9772

30521 Schoenherr Rd
Ste 101A
Warren, MI 48088

Organizations & group practices 1

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1992170419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81936",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483081936",
            "telephone_number": "248-981-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S HURON PKWY",
            "address_2": "SUITE 1C.",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045133",
            "telephone_number": "586-229-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMALI",
        "first_name": "SHARON",
        "middle_name": "JANE",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "681064525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.