Organization Active NPI

Michelle Warren Therapy

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1053960674
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MICHELLE WARREN THERAPY
Practice address
295 Elm St Ste 1a
Birmingham, MI 48009-6344
Phone
(248) 302-0477
NPI assigned
Sep 6, 2019
Last updated
Sep 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Mrs. Michelle Therese Warren, LMSWNPI 1750611224
Title
Owner/Ceo
Phone
(248) 302-0477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

295 Elm St Ste 1a
Birmingham, MI 48009-6344

Mailing address

1019 Edgewood Dr
Royal Oak, MI 48067-1211
Phone (248) 302-0477

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL OFFICE Direct

National Provider Directory

National Provider Directory

Locations

295 Elm St
Ste 1A
Birmingham, MI 48009
Phone (248) 302-0477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1053960674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 EDGEWOOD DR",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671211",
            "telephone_number": "248-302-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ELM ST STE 1A",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096344",
            "telephone_number": "248-302-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE WARREN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "248-302-0477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OFFICE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "295 Elm St Ste 1A",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480096344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.