Courtney Elizabeth Paladino

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093527 Issued in MI

Practice address

279 Summit Dr
Waterford, MI 48328-3364

Phone

(248) 409-4165

Fax

(248) 745-6872

NPI assigned

Apr 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Courtney Elizabeth Stackpoole Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iha Health Services Corporation

  dba IHA Canton Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment NPD
• Iha Olma Specialty 1 LLC

  dba IHA Obstetrics & Gynecology Livonia

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1891371118
  Medicare reassignment NPD
• Iha Ooma Primary LLC

  dba IHA Bloomfield Primary Care

  • Family Medicine Physician
  • Bloomfield Township, MI
  • NPI 1245815984
  Medicare reassignment NPD
• St Mary Mercy Physician Practices

  • Multi-Specialty Clinic/Center
  • Livonia, MI
  • NPI 1568630077
  Medicare reassignment NPD
• Iha Health Service Corporation

  dba Trinity Health IHA Medical Group OB/GYN Float

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD
• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1124425285
  NPD
• Iha Olma Specialty 1 LLC

  • Surgical Critical Care Physician
  • Livonia, MI
  • NPI 1114667144
  NPD
• Iha Olma Specialty 1 LLC

  • Rheumatology Physician
  • Livonia, MI
  • NPI 1235808494
  NPD
• Iha Ooma Primary LLC

  dba IHA Clarkston Primary Care

  • Family Medicine Physician
  • Clarkston, MI
  • NPI 1023788148
  NPD
• Iha Ooma Primary LLC

  • Family Medicine Physician
  • Commerce TWP, MI
  • NPI 1780470179
  NPD
• St Mary Mercy Physician Practices

  dba St. Joe's Urgent Care - Livonia

  • Urgent Care Clinic/Center
  • Livonia, MI
  • NPI 1184154544
  NPD

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1023453453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 SUMMIT DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283364",
            "telephone_number": "248-409-4165",
            "fax_number": "248-745-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 SUMMIT DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283364",
            "telephone_number": "248-409-4165",
            "fax_number": "248-745-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALADINO",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "STACKPOOLE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanette Elaine Owens, MA, LLPC
• Rodolfo Anthony Pacheco, LLMSW
• John Padura, PT
• Grace Marie Pagaduan-Oddo, D.O.
• Lisa Ann Page
• Jill Denise Palazzo, M.A.CCC/SLP
• Zachary Palmer
• Florainne Pambid, PT
• Kayla M Paquette, LBA
• Amber Nicole Park

• Clinical Social Worker in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.