Individual provider Active NPI

Z.Wendy Wendy Karougian-Moore, LCSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1144234014
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801018365 Issued in MI
Practice address
29551 Greenfield Rd
Suite 117
Southfield, MI 48076-2249
Phone
(248) 443-4932
Fax
(248) 443-4954
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801018365 MI Primary

Addresses

Primary practice location

29551 Greenfield Rd
Suite 117
Southfield, MI 48076-2249

Mailing address

29551 Greenfield Rd
Suite 117
Southfield, MI 48076-2249
Phone (248) 443-4932

Other identifiers 3

IdentifierTypeStateIssuer
124954OtherMIVALUE OPTIONS
7820276OtherMIAETNA
8008973840OtherMIBLUECRESS/BLUESHIELD

Other names 1

  • Mrs. Zepur Wendy Karougian Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801018365MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144234014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD",
            "address_2": "SUITE 117",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762249",
            "telephone_number": "248-443-4932",
            "fax_number": "248-443-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD",
            "address_2": "SUITE 117",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762249",
            "telephone_number": "248-443-4932",
            "fax_number": "248-443-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAROUGIAN-MOORE",
        "first_name": "Z.WENDY",
        "middle_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "124954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7820276",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECRESS/BLUESHIELD",
            "identifier": "8008973840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEPUR",
            "last_name": "KAROUGIAN",
            "middle_name": "WENDY",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southfield, 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.

Verify at the official NPI Registry.