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JAMIE L BODENHAFER LLC
NPI 1104129782
Social Worker - Clinical in Lathrup Village, MI

Active since December 21, 2010
17657 AVILLA BLVD, LATHRUP VILLAGE, MI 48076(248) 259-3527 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamie L Bodenhafer Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE L BODENHAFER LLC (NPI 1104129782) is a healthcare organization registered as a clinical in Lathrup Village, Michigan and active in the NPI registry since December 2010. The organization lists Jamie Lorraine Bodenhafer, Clincal Social Worker/administrator, as its authorized official.

NPPES Registry Identity

NPI1104129782
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJAMIE L BODENHAFER LLC
Location Address17657 AVILLA BLVDLathrup Village, MI 48076-2732
Mailing Address17657 Avilla BlvdLathrup Village, MI 48076-2732 · (248) 259-3527
Phone(248) 259-3527
Organization SubpartNo
Authorized OfficialJamie Lorraine BodenhaferClincal Social Worker/administrator · (248) 259-3527
Enumeration DateDecember 21, 2010
✔ NPI 1104129782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801087081
Definition
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.
17657 AVILLA BLVD, Lathrup Village, MI 48076
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie L Bodenhafer Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20110119000952Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jamie L Bodenhafer LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jamie Bodenhafer, L.M.S.W.
Clinical Social Worker
NPI 1508909532
17657 AVILLA BLVD
Lathrup Village, MI 48076
(248) 259-3527
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie L Bodenhafer LLC's NPI number?

The NPI number for Jamie L Bodenhafer LLC is 1104129782. It was assigned to this organization in the NPPES registry on December 21, 2010.

Where is Jamie L Bodenhafer LLC located?

Jamie L Bodenhafer LLC is located at 17657 Avilla Blvd, Lathrup Village, MI 48076. The listed phone number is (248) 259-3527.

What is Jamie L Bodenhafer LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jamie L Bodenhafer LLC enrolled in Medicare?

Yes. Jamie L Bodenhafer LLC is registered in the Medicare PECOS enrollment system.

When is Jamie L Bodenhafer LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jamie L Bodenhafer LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Jamie L Bodenhafer LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jamie L Bodenhafer LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jamie L Bodenhafer LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamie L Bodenhafer LLC was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.