Organization Active NPI

June a Walatkiewicz LMSW Acsw LMFT PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington Hills, MI
National Provider Identifier
1255516878
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JUNE A WALATKIEWICZ LMSW ACSW LMFT PLLC
Practice address
37875 W 12 Mile Rd
Suite 203
Farmington Hills, MI 48331-3043
Phone
(248) 225-6896
NPI assigned
Jan 2, 2008
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
June Ann Walatkiewicz, LMSW, ACSW,LMFTNPI 1033203773
Title
Clincial Social Worker
Phone
(248) 225-6896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

37875 W 12 Mile Rd
Suite 203
Farmington Hills, MI 48331-3043

Mailing address

37875 W 12 Mile Rd
Suite 203
Farmington Hills, MI 48331-3043
Phone (248) 225-6896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000168 MI Part B Supplier - Clinic/Group Practice 4284641002 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, MI; Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

37875 W 12 Mile Rd
Ste 203
Farmington Hills, MI 48331
Phone (248) 225-6896

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1255516878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37875 W 12 MILE RD",
            "address_2": "SUITE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313043",
            "telephone_number": "248-225-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37875 W 12 MILE RD",
            "address_2": "SUITE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313043",
            "telephone_number": "248-225-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE A WALATKIEWICZ LMSW ACSW LMFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "WALATKIEWICZ",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINCIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-225-6896",
        "authorized_official_credential": "LMSW, ACSW,LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.