Organization Active NPI

Erica McNeely, LLC

  • Clinical Social Worker
  • Milford, MI
National Provider Identifier
1306458963
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ERICA MCNEELY, LLC
Practice address
675 W Dawson Rd
Milford, MI 48381-2718
Phone
(248) 250-2842
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Erica GliddenNPI 1912455494
Title
LMSW/Owner
Phone
(248) 250-2842

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

675 W Dawson Rd
Milford, MI 48381-2718

Mailing address

675 W Dawson Rd
Milford, MI 48381-2718
Phone (248) 250-2842

Other names 1

  • North Star Psychological Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1306458963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W DAWSON RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812718",
            "telephone_number": "248-250-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W DAWSON RD",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483812718",
            "telephone_number": "248-250-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA MCNEELY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "GLIDDEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "LMSW/OWNER",
        "authorized_official_telephone_number": "248-250-2842"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Star Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.