Active NPI
Chimerical Inc
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1093864803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801018404
- Legal business name
- CHIMERICAL INC
- Practice address
- 4511 Miller Rd
Flint, MI 48507-1107 - Phone
- (810) 733-8500
- Fax
- (810) 733-8500
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. March Walker, ACSW,LMSW,BCD
- Title
- Therapist
- Phone
- (810) 733-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801018404 | MI | Primary |
Addresses
Primary practice location
4511 Miller Rd
Flint, MI 48507-1107
Mailing address
4511 Miller Rd
Flint, MI 48507-1107
Phone (810) 733-8500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013318 | Other | MI | CIGNA |
| 045048 | Other | MI | BLUE CARE NETWORK |
| 045048 | Other | MI | MAGELLAN |
| 045048 | Other | MI | VALUE OPTIONS |
| 0891601 | Other | MI | CONNETICUT GENERAL |
National Provider Directory
National Provider DirectoryLocations
4511 Miller Rd
Ste G
Flint, MI 48507
Phone (810) 733-8500
4511 Miller Rd
Flint, MI 48507
Phone (810) 230-2640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093864803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 MILLER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485071107",
"telephone_number": "810-733-8500",
"fax_number": "810-733-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4511 MILLER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485071107",
"telephone_number": "810-733-8500",
"fax_number": "810-733-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIMERICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "MARCH",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "810-733-8500",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ACSW,LMSW,BCD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801018404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1013318",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "045048",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "045048",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "045048",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNETICUT GENERAL",
"identifier": "0891601",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.