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MRS. DONNA MARIE O'REILLY LCSW
NPI 1538488150
Social Worker - Clinical in Warren, MI

Active since May 21, 2010PECOS Enrolled
12200 E 13 MILE RD, SUITE 200, WARREN, MI 48093(586) 573-1818 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Donna Marie O'reilly Lcsw NPPES

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

MRS. DONNA MARIE O'REILLY LCSW (NPI 1538488150) is an individual clinical provider in Warren, Michigan, licensed in Michigan (6801094971) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538488150
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. DONNA MARIE O'REILLYCredential: LCSW
Location Address12200 E 13 MILE RD, SUITE 200Warren, MI 48093-3093
Mailing Address2322 Avery DrTroy, MI 48085-3515 · (801) 597-0089
Phone(586) 573-1818
Sole ProprietorNo
Enumeration DateMay 21, 2010
Last NPPES UpdateJanuary 8, 2016
✔ NPI 1538488150 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 · 6801094971
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.
12200 E 13 MILE RD, Warren, MI 48093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Donna Marie O'reilly Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Donna O'reilly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stepping Stones Counseling Center, PLLC
15 mi
Clinical
31205 23 MILE RD
Chesterfield, MI 48047
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
NPI 1568835924 (586) 213-1850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CAITLYN CHOBOD
Behavior Technician
12200 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-1851
FATIMA ALIM
Behavior Technician
12200 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-1810
KATHERINE VANDEWYNGEARDE LMSW
Social Worker (Clinical)
12200 E 13 MILE RD, STE. 200
WARREN, MI 48093
Macomb County (586) 573-1810
BRIANNA WITHERSPOON
Behavior Technician
12200 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-1810
DANAZIAH THOMAS
Behavior Technician
12200 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-1810
HEATHER TAWFIK-LENISA LLMSW
Social Worker
12200 E 13 MILE RD, SUITE 200
WARREN, MI 48093
Macomb County (586) 573-1830
MRS. INDIA R MOONEY MA, LPC
Counselor (Mental Health)
12200 E 13 MILE RD
WARREN, MI 48093
Macomb County (313) 255-8250
ISYSS A ALTMAN
Behavior Technician
12200 E 13 MILE RD
WARREN, MI 48093
Macomb County (586) 573-1810

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 Donna O'reilly's NPI number?

The NPI number for Donna O'reilly is 1538488150. It was assigned to this individual provider in the NPPES registry on May 21, 2010.

Where is Donna O'reilly located?

Donna O'reilly practices at 12200 E 13 Mile Rd Suite 200, Warren, MI 48093. The listed phone number is (586) 573-1818.

What is Donna O'reilly's specialty?

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

Is Donna O'reilly enrolled in Medicare?

Yes. Donna O'reilly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna O'reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna O'reilly reassigns Medicare benefits to Stepping Stones Counseling Center, PLLC (Chesterfield, 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 Donna O'reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna O'reilly accept?

Health plans from Priority Health list Donna O'reilly 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 Donna O'reilly was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.