Active NPI
Michelle Klotz, PHD, LMSW
- Clinical Social Worker
- Westland, MI
National Provider Identifier
1053597278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801017101
- Practice address
- 28303 Joy Rd
Westland, MI 48185-5524 - Phone
- (734) 513-1122
- NPI assigned
- Jan 17, 2008
- 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 | 6801017101 | MI | Primary |
Addresses
Primary practice location
28303 Joy Rd
Westland, MI 48185-5524
Mailing address
28303 Joy Rd
Westland, MI 48185-5524
Phone (734) 513-1122
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200528000000",
"number": "1053597278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28303 JOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481855524",
"telephone_number": "734-513-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28303 JOY RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481855524",
"telephone_number": "734-513-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZ",
"first_name": "MICHELLE",
"credential": "PHD, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801017101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.