Shannon Martin, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5600 W Maple Rd Ste 302
West Bloomfield, MI 48322-3700

Phone

(248) 920-8660

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ask the Whys

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1124686787
  NPD (past) Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1114584927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7292",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483027292",
            "telephone_number": "248-920-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD STE 302",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223700",
            "telephone_number": "248-920-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHANNON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Anne Marshall, BEHAVIOR TECHNICIAN
• Amy L Marshall, PTA
• Erin M Marshall, BEHAVIOR TECHNICIAN
• Marcus Martin
• Michele Martin, RDH
• Janely Martinez
• Marvin L Kofender
• Mary Lee MD, PC
• Cortney Lynn Maser, LLMSW
• Emily Mason, PA-C

• Clinical Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.