Active NPI
Ellen L. Tripp, MA, LLP
- Social Worker
- Flint, MI
National Provider Identifier
1104959170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6301006586
- Practice address
- G3247 Beecher Rd
Flint, MI 48532-3642 - Phone
- (810) 720-4357
- Fax
- (810) 720-1978
- NPI assigned
- Mar 13, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6301006586 | MI | Primary |
Addresses
Primary practice location
G3247 Beecher Rd
Flint, MI 48532-3642
Mailing address
16498 Vintage Dr
Fenton, MI 48430-8986
Phone (810) 629-7486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0995827 | Other | MI | HEALTH PLUS (BEECHER) |
| 0999610 | Other | MI | HEALTH PLUS (DIXIE) |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006586 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104959170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16498 VINTAGE DR",
"city": "FENTON",
"state": "MI",
"postal_code": "484308986",
"telephone_number": "810-629-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3247 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323642",
"telephone_number": "810-720-4357",
"fax_number": "810-720-1978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "ELLEN",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6301006586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS (BEECHER)",
"identifier": "0995827",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS (DIXIE)",
"identifier": "0999610",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.