Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ethel Mogilevsky, LLMSW

Individual provider Clinical Social Worker · NPI 1063037190

Ethel Mogilevsky, LLMSW is a Clinical Social Worker in Dearborn, Michigan. Graduated from University of Michigan Medical School in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

15350 N Commerce Dr Ste 204
Dearborn, MI 48120-1234
Phone: (313) 550-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801107226 (MI)

Record details

NPI number1063037190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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