Active NPI
Shelly M Vallee, LMSW
- Clinical Social Worker
- Midland, MI
National Provider Identifier
1023191996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801064249
- Practice address
- 1714 Eastman Ave
Midland, MI 48640-4216 - Phone
- (989) 631-5390
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1995C | AL | |
| Clinical Social Worker | 1041C0700X | 6801064249 | MI | Primary |
Addresses
Primary practice location
1714 Eastman Ave
Midland, MI 48640-4216
Mailing address
1714 Eastman Ave
Midland, MI 48640-4216
Phone (989) 631-5390
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330000034 | Other | AL | MEDICAID |
| 51537550 | Other | AL | BLUE CROSS OF AL |
| 630288854 | Other | AL | UNITED BEHAVIORAL HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1995C | AL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1023191996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 EASTMAN AVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404216",
"telephone_number": "989-631-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 EASTMAN AVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486404216",
"telephone_number": "989-631-5390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEE",
"first_name": "SHELLY",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "1995C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801064249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "330000034",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "51537550",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "630288854",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.