Individual provider Active NPI

Jennifer Marie Sloan, LMSW

  • Clinical Social Worker
  • Harper Woods, MI
National Provider Identifier
1215589114
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091507 Issued in MI
Practice address
20955 Bournemouth St
Harper Woods, MI 48225-2301
Phone
(313) 794-4447
NPI assigned
Jul 10, 2019
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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 6801091507 MI Primary

Addresses

Primary practice location

20955 Bournemouth St
Harper Woods, MI 48225-2301

Mailing address

200 Riverfront Dr Apt 9J
Detroit, MI 48226-4598
Phone (313) 580-9242

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL starpanda.com
Other URL starpanda.com Health Information Exchange (HIE)
CONNECT URL starpanda.com
CONNECT URL starpanda.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starr Commonwealth 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1215589114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERFRONT DR APT 9J",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482264598",
            "telephone_number": "313-580-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20955 BOURNEMOUTH ST",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252301",
            "telephone_number": "313-794-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "starpanda.com",
            "affiliation": "N",
            "address_1": "20955 Bournemouth St",
            "city": "Harper Woods",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482252301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "starpanda.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20955 Bournemouth St",
            "city": "Harper Woods",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482252301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "starpanda.com",
            "affiliation": "N",
            "address_1": "20955 Bournemouth St",
            "city": "Harper Woods",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482252301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "starpanda.com",
            "affiliation": "N",
            "address_1": "20955 Bournemouth St",
            "city": "Harper Woods",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482252301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.