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Crystal Cook

Social Worker β€’ Taylor, MI

Active NPI 1205299237 Individual Practitioner Female Practitioner
Practice location in NPPES

20300 Superior Rd
Taylor, MI 481806331

Call 7347857700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20300 Superior Rd

Taylor, MI 481806331

Telephone 7347857700
Organization at the Same NPPES Address or Phone
Ideal Home Health Llc Facility NPI 1881848604

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Taylor and Michigan

26 active clinicians are listed under Social Worker with a practice address in Taylor, MI (9,122 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Taylor

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MI 6801098399

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1205299237 (MI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Nalini Agarwal , MD

Psychiatry & Neurology - Psychiatry

NPI 1073603213

Doctor of Medicine (M.D.)

Shannon Baynai

Social Worker - Clinical

NPI 1003334277
Jacqueline Kaba , LMSW

Social Worker - Clinical

NPI 1104160837

Licensed Master Social Worker

Joan Placido , LMSW

Social Worker

NPI 1033428313

Licensed Master Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 20, 2022

Registered at 20300 SUPERIOR RD, TAYLOR, MI 481806331 (Tel: 7347857700)

πŸ“
Updated Business Mailing Address September 20, 2022

Registered at 5065 GATESHEAD ST, GROSSE POINTE FARMS, MI 482362170

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2022

Social Worker (license number reported to NPPES: MI 6801098399)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Social Worker

πŸ“
Updated Practice Location August 02, 2018

Registered at 175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043 (Tel: 5866270024)

πŸ‘€
Provider Name / Credentials Updated August 02, 2018

Recorded as CRYSTAL COOK

βœ…
NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 29, 2016

Registered at 2051 W GRAND BLVD, DETROIT, MI 482081105 (Tel: 3139613221)

πŸ“
Business Mailing Address (Initial Record) March 29, 2016

Registered at 2051 W GRAND BLVD, DETROIT, MI 482081105 (Tel: 3139613221)

πŸ‘€
Provider Name / Credentials (Initial Record) March 29, 2016

Recorded as CRYSTAL ANDERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Social Worker (license number reported to NPPES: MI 6801098399)

🟒
Initial NPI Registration & Enumeration March 29, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205299237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2016
Last Update: September 20, 2022
Sole Proprietor: Yes

Mailing Address

5065 Gateshead St

Grosse Pointe Farms, MI 482362170

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.