Individual provider Active NPI

Emily K Piellusch, LLMSW

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1154153997
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851118707 Issued in MI
Practice address
310 N Adams St Apt 5
Ypsilanti, MI 48197-2563
Phone
(231) 350-6234
NPI assigned
Aug 19, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 6851118707 MI Primary

Addresses

Primary practice location

310 N Adams St Apt 5
Ypsilanti, MI 48197-2563

Mailing address

310 N Adams St Apt 5
Ypsilanti, MI 48197-2563
Phone (231) 350-6234

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

LicenseStateTypeSpecialty
6851118707MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1154153997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N ADAMS ST APT 5",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972563",
            "telephone_number": "231-350-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N ADAMS ST APT 5",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972563",
            "telephone_number": "231-350-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIELLUSCH",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851118707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.