Organization Active NPI

Caring Connections Counseling, LLC

  • Clinical Social Worker
  • Leonard, MI
National Provider Identifier
1093594913
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARING CONNECTIONS COUNSELING, LLC
Practice address
450 Brewer Rd
Leonard, MI 48367-4008
Phone
(586) 944-4790
NPI assigned
Sep 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Carlene J Brockert, LMSWNPI 1053882118
Title
Owner/Partner
Phone
(586) 944-4790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

450 Brewer Rd
Leonard, MI 48367-4008

Mailing address

22309 Mylls St
Saint Clair Shores, MI 48081-1342
Phone (586) 944-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102003432 MI Part B Supplier - Clinic/Group Practice 5890145999 Receives reassigned benefits from 3 practitioners
Practice locations: Leonard, MI

National Provider Directory

National Provider Directory

Locations

450 Brewer Rd
Leonard, MI 48367
Phone (586) 604-3685

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1093594913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22309 MYLLS ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811342",
            "telephone_number": "586-944-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BREWER RD",
            "city": "LEONARD",
            "state": "MI",
            "postal_code": "483674008",
            "telephone_number": "586-944-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING CONNECTIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "BROCKERT",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "586-944-4790",
        "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": [],
    "other_names": []
}

Other providers in Leonard, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.