Organization Active NPI

Constructive Empathy, PLLC

  • Clinical Social Worker
  • Cheboygan, MI
National Provider Identifier
1215536503
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONSTRUCTIVE EMPATHY, PLLC
Practice address
351 Young St
Cheboygan, MI 49721-1934
Phone
(248) 821-9130
NPI assigned
Oct 19, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Alicia C Shamblin, LMSW
Title
Therapist
Phone
(248) 821-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

351 Young St
Cheboygan, MI 49721-1934

Mailing address

351 Young St
Cheboygan, MI 49721-1934
Phone (248) 821-9130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1215536503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 YOUNG ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211934",
            "telephone_number": "248-821-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 YOUNG ST",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497211934",
            "telephone_number": "248-821-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTRUCTIVE EMPATHY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "SHAMBLIN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-821-9130",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheboygan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.