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AUTUMN NICOLE WHITESIDE LLMSW
NPI 1265105878
Social Worker in Detroit, MI

Active since July 29, 2021PECOS Enrolled
882 OAKMAN BLVD STE D, DETROIT, MI 48238(313) 961-7990(313) 883-6261 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Autumn Nicole Whiteside Llmsw NPPES

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

AUTUMN NICOLE WHITESIDE LLMSW (NPI 1265105878) is an individual social worker in Detroit, Michigan, licensed in Michigan (6851107419) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265105878
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAUTUMN NICOLE WHITESIDECredential: LLMSW
Location Address882 OAKMAN BLVD STE DDetroit, MI 48238-4019
Mailing Address27225 Devonshire StSouthfield, MI 48076-5639 · (248) 390-0956
Phone(313) 961-7990
Fax(313) 883-6261
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1265105878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6851107419
Definition
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.
882 OAKMAN BLVD STE D, Detroit, MI 48238
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Nicole Whiteside Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193293264
PECOS Enrollment IDI20260506003585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Autumn Whiteside reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neighborhood Service Organization
Same address
Community/Behavioral Health
882 OAKMAN BLVD, STE. C
Detroit, MI 48238
  • Reassigned Medicare billing, Michigan enrollment
  • 50 clinicians in this Medicare group
NPI 1891825808 (313) 961-4890

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRINIA GRAYSON
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-4890
AMANDA MARIE LAYNE LLMSW
Social Worker (Clinical)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
MRS. CYNTHIA MARIE GREENE MA LLPC
Counselor (Mental Health)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-4890
TEQUILLA CATRICE ROOKS MA, LLPC
Counselor (Professional)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (800) 395-3223
SHELLEY MARIE DRUMM LMSW
Social Worker (Clinical)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
TRACEY LOUISE GREEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
BRITTANY ARIEL LEFLORE
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990
DARLENE ODESSA MCMICHAEL LLCSW
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Wayne County (313) 961-7990

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 Autumn Whiteside's NPI number?

The NPI number for Autumn Whiteside is 1265105878. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Autumn Whiteside located?

Autumn Whiteside practices at 882 Oakman Blvd Ste D, Detroit, MI 48238. The listed phone number is (313) 961-7990.

What is Autumn Whiteside's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Autumn Whiteside enrolled in Medicare?

Yes. Autumn Whiteside is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autumn Whiteside's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Whiteside reassigns Medicare benefits to Neighborhood Service Organization (Detroit, MI). The 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 Autumn Whiteside's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Whiteside accept?

Health plans from Oscar Insurance Company list Autumn Whiteside 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 Autumn Whiteside was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.