NPIMap

Organization Active NPI

Eastwood Community Clinics

Doing business as Eastwood Clinics

  • Social Worker
  • Shelby Township, MI
National Provider Identifier
1023386398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
500457 Issued in MI
Legal business name
EASTWOOD COMMUNITY CLINICS
Doing business as
Eastwood Clinics
Practice address
45660 Schoenherr Rd
Shelby Township, MI 48315-6033
Phone
(586) 566-3020
Fax
(586) 566-3055
NPI assigned
Dec 1, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
EASTWOOD COMMUNITY CLINICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Steven Candela, LMSW
Title
Director
Phone
(586) 753-0400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 500457 MI
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 500457 MI
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 500457 MI Primary

Addresses

Primary practice location

45660 Schoenherr Rd
Shelby Township, MI 48315-6033

Mailing address

28000 Dequindre Rd
Warren, MI 48092-2468
Phone (586) 753-0400

Other names 1

  • Eastwood Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eastwood Administrative23 organizations share this tax ID, including this one
Part of
Eastwood Administrative

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023386398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922468",
            "telephone_number": "586-753-0400",
            "fax_number": "586-753-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45660 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "586-566-3020",
            "fax_number": "586-566-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWOOD COMMUNITY CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTWOOD COMMUNITY CLINICS",
        "enumeration_date": "2011-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CANDELA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-753-0400",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MI",
            "license": "500457",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "500457",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "500457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastwood Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.