Individual provider Active NPI

Joanne Theresa Mulhere, LMSW

  • Clinical Social Worker
  • Bloomfield Hills, MI
National Provider Identifier
1174555122
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083528 Issued in MI
Practice address
43996 Woodward Ave
Ste. 101
Bloomfield Hills, MI 48302-5027
Phone
(248) 338-2988
Fax
(248) 338-1322
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 6801083528 MI Primary

Addresses

Primary practice location

43996 Woodward Ave
Ste. 101
Bloomfield Hills, MI 48302-5027

Mailing address

1408 Webster St
Birmingham, MI 48009-7003
Phone (248) 723-6850

Other identifiers 9

IdentifierTypeStateIssuer
0911419OtherMIBCBSM MESSA/MAGELLAN
1063603106OtherMIHEALTH PLUS PIN
5266701OtherMIAETNA BEHAVIORAL HEALTH
028363OtherMIVALUE OPTIONS
1705289MedicaidMI
130958OtherMICARE CHOICES /PREFERRED
20530OtherMIBCBSM SUBSTANCE ABUSE
258694OtherMIMHN
7509104190OtherMIBCBSM MENTAL HEALTH PIN

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
6801083528MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bart Anthony PC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174555122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 WEBSTER ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097003",
            "telephone_number": "248-723-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE",
            "address_2": "STE. 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025027",
            "telephone_number": "248-338-2988",
            "fax_number": "248-338-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHERE",
        "first_name": "JOANNE",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MESSA/MAGELLAN",
            "identifier": "0911419",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PIN",
            "identifier": "1063603106",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "5266701",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "028363",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705289",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES /PREFERRED",
            "identifier": "130958",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM SUBSTANCE ABUSE",
            "identifier": "20530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "258694",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MENTAL HEALTH PIN",
            "identifier": "7509104190",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.