Individual provider Active NPI

Alena Mari Clinkston, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1023305828
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090522 Issued in MI
Practice address
2830 Corunna Rd
Flint, MI 48503-3254
Phone
(810) 235-6812
Fax
(810) 234-7022
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801090522 MI
Clinical Social Worker 1041C0700X 6801090522 MI Primary

Addresses

Primary practice location

2830 Corunna Rd
Flint, MI 48503-3254

Mailing address

2830 Corunna Rd
Flint, MI 48503-3254
Phone (810) 235-6812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518000780 MI Practitioner - Clinical Social Worker 3870813710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Community Living, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Alternative Community Living, Inc. Current Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients
Alternative Community Living, Inc. PastSince Dec 1, 2020 Accepting new patients

Locations

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1023305828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033254",
            "telephone_number": "810-235-6812",
            "fax_number": "810-234-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CORUNNA RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033254",
            "telephone_number": "810-235-6812",
            "fax_number": "810-234-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINKSTON",
        "first_name": "ALENA",
        "middle_name": "MARI",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801090522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.