Premier Professional Group, LLC
Social Worker, Clinical in Novi, MI. Organization (NPI-2).
NPI number1376974733
StatusActive
Last updated in NPPESDec 10, 2013
Details
- NPI
- 1376974733
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Professional Group, LLC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2013
- Last updated
- Dec 10, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
42450 W 12 Mile RdSuite #315
Novi, MI 48377-3013
Phone 248-513-4100 · Fax 248-513-4105
Mailing address
42450 W 12 Mile RdSuite #315
Novi, MI 48377-3013
Phone 248-513-4100 · Fax 248-513-4105
Authorized official
Dahlia Brenda Berkovitz
Psychotherapist
2485134100
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