Chestnut Hill Counseling Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801061371 Issued in MI

Legal business name

CHESTNUT HILL COUNSELING INC.

Practice address

8200 E Jefferson Ave Apt 1911
Detroit, MI 48214-3932

Phone

(313) 331-3867

Fax

(313) 331-3867

NPI assigned

Mar 13, 2009

Last updated

Mar 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Roberta Defrancis Walden, LMSWNPI 1255375846

Title

Owner

Phone

(313) 331-3867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Roberta Walden

  • Clinical Social Worker
  • Warren, MI
  • NPI 1255375846
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1083855571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E JEFFERSON AVE APT 1911",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143932",
            "telephone_number": "313-331-3867",
            "fax_number": "313-331-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E JEFFERSON AVE APT 1911",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143932",
            "telephone_number": "313-331-3867",
            "fax_number": "313-331-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "DEFRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-331-3867",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Streat Health Services
• Teairra Cherry
• Yurij Cherstylo
• Cherubim Home Health Care LLC.
• Chandana Cherukupalli, DO
• Caroline Man Gee Cheung, DDS
• Bernard Chevalier
• Noorayne E Chevalier, MA, LLP, CACII, CGC
• Christopher J Cheyer, MD
• Ashia Chhang

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.