New Leaf Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801097641 Issued in MI

Legal business name

NEW LEAF THERAPY

Practice address

1938 Burdette St
Ferndale, MI 48220-1982

Phone

(313) 652-1510

Fax

(248) 876-9454

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer K Shea, LMSWNPI 1730581414

Title

Owner

Phone

(313) 652-1510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Shea

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1730581414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1154801322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 BURDETTE ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201982",
            "telephone_number": "313-652-1510",
            "fax_number": "248-876-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 BURDETTE ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201982",
            "telephone_number": "313-652-1510",
            "fax_number": "248-876-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-652-1510",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Nappo
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• Jami Neuens, CRNA
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• Leslie Susan Nichols, LMSW, QMRP
• Ashton Niedzwiecki
• Anna Niforos
• Nine Mile RX, LLC.
• Nine Mile RX, LLC.

• Clinical Social Worker in Ferndale, MI
• Providers in Ferndale, 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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.