Individual provider Active NPI

Adrianne Muntz, LLMSW

  • Clinical Social Worker
  • New Baltimore, MI
National Provider Identifier
1285089839
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099122 Issued in MI
Practice address
51145 Washington St
Suite E
New Baltimore, MI 48047-2100
Phone
(586) 604-9101
Fax
(586) 690-4902
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099122 MI Primary
Mental Health Counselor 101YM0800X 6801099122 MI

Addresses

Primary practice location

51145 Washington St
Suite E
New Baltimore, MI 48047-2100

Mailing address

29195 Tessmer CT
Madison Heights, MI 48071-2603
Phone (248) 794-9994

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

State licenses

LicenseStateTypeSpecialty
6801099122MIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1285089839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29195 TESSMER CT",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712603",
            "telephone_number": "248-794-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51145 WASHINGTON ST",
            "address_2": "SUITE E",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472100",
            "telephone_number": "586-604-9101",
            "fax_number": "586-690-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTZ",
        "first_name": "ADRIANNE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099122",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801099122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.