Tara Kanona, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801104480 Issued in MI

Practice address

8150 Old 13 Mile Rd
Warren, MI 48093-8700

Phone

(586) 825-9700

NPI assigned

Jul 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1053929893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 OLD 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938700",
            "telephone_number": "586-825-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANONA",
        "first_name": "TARA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harleen Kang, M.D.
• Amaraja Anil Kanitkar, MD
• Madhavi Kanneganti, MD
• Anita Kano, DO
• Brian Bassil Kanona, DPT
• Dayna Kanouna, LLPC
• Howard M Kaplan, MD
• Mary B Kaplan, MD
• James J. Karam, D.D.S.
• Alexa Marie Karbowski, PA-C

• Clinical Social Worker in Warren, MI
• Providers in Warren, 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 Jul 17, 2020; 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.