JONATHAN MULLINIX (LMSW) – Clinical Social Worker, NPI 1104485952

JONATHAN MULLINIX (LMSW) is a healthcare provider. based in Sterling heights, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801113870 (MI). The NPI Number for JONATHAN MULLINIX (LMSW) is 1104485952

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN MULLINIX (LMSW)
NPI
1104485952
Phone
Not provided
Address
34526 GREENTREES RD
Enumeration Date
6 June 2019
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
7517350481
Group Practice PAC ID
6901206689
Professional Enrollment ID
I20220217001491
Address ID
MI481521477LI19000PKWY400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for JONATHAN MULLINIX (LMSW)

  • 34526, Greentrees Road, Sterling Heights, Macomb County, Michigan, 48312, United States

    STERLING HEIGHTS, MI 483125513

    Phone:

    Type: Mailing

  • 17421, Telegraph Road, Detroit, Wayne County, Michigan, 48219, United States

    DETROIT, MI 482193165

    Phone: (313) 531-2500

    Type: Location

  • 6549 Town Center Dr Ste A

    Clarkston, MI 483464824

    Phone: (248) 620-6400

    Type: Location

  • 32961 Middlebelt Rd

    Farmington Hills, MI 483341729

    Phone: (248) 855-1540

    Type: Location

  • 1938 Burdette St

    Ferndale, MI 482201982

    Phone: (313) 355-2796

    Type: Location

  • 19000 ST. JOES PARKWAY

    SUITE 310

    LIVONIA, MI 48152

    Phone: (734) 743-4540

    Fax: (734) 743-4541

    Type: Location

  • 24 FRANK LLOYD WRIGHT DRIVE

    STE J2000

    ANN ARBOR, MI 48105

    Phone: (734) 747-6766

    Fax: (734) 222-3100

    Type: Mailing

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: 2022-02-17

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
I20220217001491IClinical 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 48312)

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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: 6901206689View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Critical Care (Intensivists)MI
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
P S Y C H I A T R YMI
O B S T E T R I C S/ G Y N E C O L O G YIL
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to JONATHAN MULLINIX (LMSW)?
NPI 1104485952 is assigned to JONATHAN MULLINIX (LMSW) under the national enumeration system.
Does this profile mean JONATHAN MULLINIX (LMSW) is currently active?
Yes — JONATHAN MULLINIX (LMSW) appears active in the national provider directory.
Can you summarize JONATHAN MULLINIX (LMSW)'s specialty in plain language?
Clinically, the directory lists JONATHAN MULLINIX (LMSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for JONATHAN MULLINIX (LMSW)?
The page summarizes Sterling Heights, Michigan for JONATHAN MULLINIX (LMSW); expand the address list for detail.
How can I contact JONATHAN MULLINIX (LMSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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