Active NPI
Pamela Adele Kanehann, LMSW
- Clinical Social Worker
- Bingham Farms, MI
National Provider Identifier
1164773867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801071593
- Practice address
- 31000 Telegraph Rd
Suite 130
Bingham Farms, MI 48025-4360 - Phone
- (248) 877-0054
- NPI assigned
- Sep 21, 2012
- Last updated
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801071593 | MI | Primary |
Addresses
Primary practice location
31000 Telegraph Rd
Suite 130
Bingham Farms, MI 48025-4360
Mailing address
31000 Telegraph Rd
Suite 130
Bingham Farms, MI 48025-4360
Phone (248) 877-0054
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801071593 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1164773867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31000 TELEGRAPH RD",
"address_2": "SUITE 130",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254360",
"telephone_number": "248-877-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31000 TELEGRAPH RD",
"address_2": "SUITE 130",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254360",
"telephone_number": "248-877-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANEHANN",
"first_name": "PAMELA",
"middle_name": "ADELE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.