MS. LATHA RAVI (LLMSW) – Clinical Social Worker, NPI 1104382100

MS. LATHA RAVI (LLMSW) is a healthcare provider. based in Farmington hills, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LLMSW. They hold a License No. 6801103768 (MI). The NPI Number for MS. LATHA RAVI (LLMSW) is 1104382100

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. LATHA RAVI (LLMSW)
NPI
1104382100
Phone
(248) 474-4701
Address
29887 W 11 MILE RD
Enumeration Date
14 February 2019
Last Update Date
14 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5869962273
Graduation Year
2018 (8 years ago)
PAC ID
1759870942
Group Practice PAC ID
6507143161
Professional Enrollment ID
I20251028004197
Address ID
MI480472003CH34474RDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MS. LATHA RAVI (LLMSW)

  • 29887, West 11 Mile Road, Farmington Hills, Oakland County, Michigan, 48336, United States

    FARMINGTON HILLS, MI 483361309

    Phone: (248) 474-4701

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251028004197IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48336)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507143161View full group profile
NameSpecialtyState
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Where can patients find MS. LATHA RAVI (LLMSW)'s NPI?
You can confirm MS. LATHA RAVI (LLMSW) with NPI 1104382100; it appears in the national provider directory.
Is MS. LATHA RAVI (LLMSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. LATHA RAVI (LLMSW)?
The page reflects Clinical Social Worker for MS. LATHA RAVI (LLMSW). Clinical services aligned with this taxonomy classification.
What location shows for MS. LATHA RAVI (LLMSW)?
We surface Farmington Hills, Michigan for MS. LATHA RAVI (LLMSW) based on available NPPES addresses.
Is MS. LATHA RAVI (LLMSW) a real provider?
This page reflects official NPPES data for NPI 1104382100. Always confirm identity and privileges with the practice and licensing boards.

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