Individual provider Active NPI

Rhonna L Nelson, LMSW DCSW

  • Clinical Social Worker
  • Bingham Farms, MI
National Provider Identifier
1023189834
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801016202 Issued in MI
Practice address
31000 Telegraph Road
Suite 150
Bingham Farms, MI 48025-4306
Phone
(248) 723-4114
Fax
(248) 723-4766
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801016202 MI Primary

Addresses

Primary practice location

31000 Telegraph Road
Suite 150
Bingham Farms, MI 48025-4306

Mailing address

31000 Telegraph Road
Suite 150
Bingham Farms, MI 48025-4306
Phone (248) 723-4114

Other identifiers 1

IdentifierTypeStateIssuer
033244OtherMHS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801016202MIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1023189834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH ROAD",
            "address_2": "SUITE 150",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254306",
            "telephone_number": "248-723-4114",
            "fax_number": "248-723-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH ROAD",
            "address_2": "SUITE 150",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254306",
            "telephone_number": "248-723-4114",
            "fax_number": "248-723-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RHONNA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMSW DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS",
            "identifier": "033244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.