Active NPI
Eriana Sondra Dekalita-Mull, LMSW
- Clinical Social Worker
- Plymouth, MI
National Provider Identifier
1265951966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 260 S Union St
Plymouth, MI 48170-1612 - Phone
- (734) 531-8563
- NPI assigned
- Sep 13, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
260 S Union St
Plymouth, MI 48170-1612
Mailing address
24425 Hoover CT Apt 1877
Farmington Hills, MI 48335-2183
Other practice location 1
901 Chippewa St
Flint, MI 48503-1552
Phone (810) 232-9950
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1265951966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24425 HOOVER CT APT 1877",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S UNION ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701612",
"telephone_number": "734-531-8563"
}
],
"practiceLocations": [
{
"address_1": "901 Chippewa St",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485031552",
"country_code": "US",
"telephone_number": "810-232-9950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEKALITA-MULL",
"first_name": "ERIANA",
"middle_name": "SONDRA",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.