Active NPI
Tracy Lynn Shukwit, LMSW
- Social Worker
- Chesterfield, MI
National Provider Identifier
1235280728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801081290
- Practice address
- 33497 23 Mile Rd
Ste 110
Chesterfield, MI 48047-4062 - Phone
- (586) 716-2660
- Fax
- (586) 716-3095
- NPI assigned
- Jan 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801081290 | MI | Primary |
Addresses
Primary practice location
33497 23 Mile Rd
Ste 110
Chesterfield, MI 48047-4062
Mailing address
14131 Kerner Dr
Sterling HTS, MI 48313-2130
Phone (586) 566-1951
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801081290 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Michigan LLC | Past | Accepting new patients | |
| Clementine Counseling | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shelby TWP, MI
- NPI 1265360739
-
- Psychiatric Hospital
- New Baltimore, MI
- NPI 1144381245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235280728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14131 KERNER DR",
"city": "STERLING HTS",
"state": "MI",
"postal_code": "483132130",
"telephone_number": "586-566-1951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33497 23 MILE RD",
"address_2": "STE 110",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474062",
"telephone_number": "586-716-2660",
"fax_number": "586-716-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUKWIT",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801081290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.