Individual provider Active NPI

Linda Shkreli-Mosed, LMSW, LCSW, QMHP

  • Clinical Social Worker
  • Shelby TWP, MI
National Provider Identifier
1275609430
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801072354 Issued in MI
Practice address
6218 Windemere LN
Shelby TWP, MI 48316-5383
Phone
(586) 221-0123
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 6801072354 MI Primary

Addresses

Primary practice location

6218 Windemere LN
Shelby TWP, MI 48316-5383

Mailing address

44444 Mound Rd Ste 600
Sterling Heights, MI 48314-1354
Phone (586) 214-7787

Other practice location 1

44444 Mound Rd Ste 600
Sterling Heights, MI 48314-1354
Phone (586) 214-7787

Other names 1

  • Linda Shkreli Former name

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

LicenseStateTypeSpecialty
6801072354MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation 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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1275609430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44444 MOUND RD STE 600",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141354",
            "telephone_number": "586-214-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 WINDEMERE LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483165383",
            "telephone_number": "586-221-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44444 Mound Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141354",
            "country_code": "US",
            "telephone_number": "586-214-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHKRELI-MOSED",
        "first_name": "LINDA",
        "credential": "LMSW, LCSW, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801072354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SHKRELI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.