Individual provider Active NPI

Allyson Pascarella, LLMSW

  • Social Worker
  • Warren, MI
National Provider Identifier
1992454334
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851114339 Issued in MI
Practice address
12200 E 13 Mile Rd # 200
Warren, MI 48093-3093
Phone
(586) 573-1810
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851114339 MI Primary

Addresses

Primary practice location

12200 E 13 Mile Rd # 200
Warren, MI 48093-3093

Mailing address

29484 Ashland Ave Apt 303
Harrison Township, MI 48045-2294
Phone (708) 826-0430

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
I20241111001860 MI Practitioner - Clinical Social Worker 8426582602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Judson Center IncGroup PAC ID 5698906907, 10 clinicians

Practice addresses (Care Compare)

12220 E 13 Mile Rd
Suite 200
Warren, MI 48093-5000
Phone (866) 558-3766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114339MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judson Center, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Judson Center, Inc. CurrentSince Oct 21, 2024 Accepting new patients

Locations

30301 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 549-4339

12200 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 573-1810

12200 E 13 Mile Rd
#200
Warren, MI 48093
Phone (586) 258-0206

12220 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (866) 558-3766

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1992454334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29484 ASHLAND AVE APT 303",
            "city": "HARRISON TOWNSHIP",
            "state": "MI",
            "postal_code": "480452294",
            "telephone_number": "708-826-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD # 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "586-573-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCARELLA",
        "first_name": "ALLYSON",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851114339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.