Active NPI
Christine Armada Alcantara, LMSW
- Clinical Social Worker
- Saint Clair Shores, MI
National Provider Identifier
1023612090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801115895
- Practice address
- 23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756 - Phone
- (810) 392-2167
- NPI assigned
- Nov 30, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801115895 | MI | Primary |
Addresses
Primary practice location
23100 Jefferson Ave
Saint Clair Shores, MI 48080-2756
Mailing address
40 Roslyn Rd
Grosse Pointe Shores, MI 48236-1321
Phone (313) 402-5861
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
23409 Jefferson Ave
Suite 100F
Saint Clair Shores, MI 48080-3449
Phone (313) 549-9216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Life Therapy LLC | Clinical | Current | Accepting new patients |
Locations
18090 Mack Ave
Ste 4
Grosse Pointe, MI 48230
Phone (248) 415-4471
23780 Harper Ave
Ste B
St Clr Shores, MI 48080
Phone (313) 402-5861
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Grosse Pointe Shores, MI
- NPI 1124864277
-
- Clinical Social Worker
- St. Clair Shores, MI
- NPI 1730509993
-
- Substance Abuse Rehabilitation Facility
- Richmond, MI
- NPI 1750363305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1023612090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ROSLYN RD",
"city": "GROSSE POINTE SHORES",
"state": "MI",
"postal_code": "482361321",
"telephone_number": "313-402-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23100 JEFFERSON AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802756",
"telephone_number": "810-392-2167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCANTARA",
"first_name": "CHRISTINE",
"middle_name": "ARMADA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801115895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.