Individual provider Active NPI

Amy Kristin Totin, MSW

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1316171689
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6802075319 Issued in MI
Practice address
23200 Ryan Rd
Warren, MI 48091-4551
Phone
(586) 759-9070
Fax
(586) 759-6098
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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 6802075319 MI Primary

Addresses

Primary practice location

23200 Ryan Rd
Warren, MI 48091-4551

Mailing address

36511 Quakertown LN
Farmington Hills, MI 48331-3814
Phone (586) 759-9070

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
6802075319MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1316171689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36511 QUAKERTOWN LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313814",
            "telephone_number": "586-759-9070",
            "fax_number": "586-759-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23200 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480914551",
            "telephone_number": "586-759-9070",
            "fax_number": "586-759-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTIN",
        "first_name": "AMY",
        "middle_name": "KRISTIN",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802075319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.