Active NPI
Amy M Lilienthal, LLMSW
- Clinical Social Worker
- Big Rapids, MI
National Provider Identifier
1306606496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851117919
- Practice address
- 110 Sanborn Ave Ste B
Big Rapids, MI 49307-1769 - Phone
- (231) 580-8482
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 6851117919 | MI | Primary |
Addresses
Primary practice location
110 Sanborn Ave Ste B
Big Rapids, MI 49307-1769
Mailing address
6737 Little Hemlock St
Stanwood, MI 49346-9391
Phone (989) 560-2396
Other practice location 1
6737 Little Hemlock St
Stanwood, MI 49346-9391
Phone (198) 956-0239
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6851117919 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1306606496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6737 LITTLE HEMLOCK ST",
"city": "STANWOOD",
"state": "MI",
"postal_code": "493469391",
"telephone_number": "989-560-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SANBORN AVE STE B",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493071769",
"telephone_number": "231-580-8482"
}
],
"practiceLocations": [
{
"address_1": "6737 Little Hemlock St",
"address_purpose": "LOCATION",
"city": "Stanwood",
"state": "MI",
"postal_code": "493469391",
"country_code": "US",
"telephone_number": "198-956-0239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LILIENTHAL",
"first_name": "AMY",
"middle_name": "M",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851117919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.