Emily Mandigo, LMSW, CCS, CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085696 Issued in MI

Practice address

2351 W 12 Mile Rd
Berkley, MI 48072-1826

Phone

(248) 853-0750

NPI assigned

Aug 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Kaminskas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/oaklandfamilyservices/r4/

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.

• Oakland Family Services

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1003003617
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1306255906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 E WEST MAPLE RD STE D-407",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903801",
            "telephone_number": "248-858-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721826",
            "telephone_number": "248-853-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDIGO",
        "first_name": "EMILY",
        "credential": "LMSW, CCS, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KAMINSKAS",
            "credential": "LMSW, CCS, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Rose Macauley, DNP, CRNA
• Shea Mace, PA-C
• Angela Magolan, DNP, APRN, FNP-C
• Lynn Marie Maher
• Kim Ching Man, D.O.
• Howard Irwin Manela, DC
• Manifest Vision PLLC
• Dominic L Marsalese, M.D.
• Mary Ann Matta, RN, SWT, CACR
• Noah Matthews

• Clinical Social Worker in Berkley, MI
• Providers in Berkley, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.