NPIMap

Organization Active NPI

Comprehenself

  • Clinical Social Worker
  • Shelby TWP, MI
National Provider Identifier
1083238620
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMPREHENSELF
Practice address
6218 Windemere LN
Shelby TWP, MI 48316-5383
Phone
(586) 214-7787
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Authorized official

Name
Ms. Linda Shkreli, LCSW, LMSW, QMHP
Title
Clinical Social Work
Phone
(596) 214-7787

Specialties & licenses 1

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

Addresses

Primary practice location

6218 Windemere LN
Shelby TWP, MI 48316-5383

Mailing address

6218 Windemere LN
Shelby TWP, MI 48316-5383
Phone (586) 214-7787

Other identifiers 1

IdentifierTypeStateIssuer
1275609430OtherMINPI-1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1083238620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 WINDEMERE LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483165383",
            "telephone_number": "586-214-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 WINDEMERE LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483165383",
            "telephone_number": "586-214-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "SHKRELI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "596-214-7787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LMSW, QMHP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-1",
            "identifier": "1275609430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.