Active NPI
Debbie Ann Reardon, LMSW
- Clinical Social Worker
- Bloomfield Hills, MI
National Provider Identifier
1104136456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801071152
- Practice address
- 801 W. Long Lake Rd., D8
Bloomfield Hills, MI 48302-2063 - Phone
- (248) 346-6189
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801071152 | MI | Primary |
Addresses
Primary practice location
801 W. Long Lake Rd., D8
Bloomfield Hills, MI 48302-2063
Mailing address
801 W. Long Lake Rd., D8
Bloomfield Hills, MI 48302-2063
Phone (248) 346-6189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801071152 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1104136456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W. LONG LAKE RD., D8",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483022063",
"telephone_number": "248-346-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W. LONG LAKE RD., D8",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483022063",
"telephone_number": "248-346-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARDON",
"first_name": "DEBBIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.