Organization Active NPI

Chimerical Inc

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1093864803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801018404 Issued in MI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1013318OtherMICIGNA
045048OtherMIBLUE CARE NETWORK
045048OtherMIMAGELLAN
045048OtherMIVALUE OPTIONS
0891601OtherMICONNETICUT GENERAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.