Active NPI
Shayna Marigold, LMSW
- Clinical Social Worker
- Warren, MI
National Provider Identifier
1326459777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801096604
- Practice address
- 12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000 - Phone
- (586) 573-1810
- NPI assigned
- May 19, 2014
- Last updated
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 6801096604 | MI | Primary |
Addresses
Primary practice location
12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000
Mailing address
11270 E 13 Mile Rd
Suite 200
Warren, MI 48093-2599
Phone (586) 573-1810
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judson Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Royal Oak, MI
- NPI 1033264890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1326459777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11270 E 13 MILE RD",
"address_2": "SUITE 200",
"city": "WARREN",
"state": "MI",
"postal_code": "480932599",
"telephone_number": "586-573-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12220 E 13 MILE RD",
"address_2": "SUITE 300",
"city": "WARREN",
"state": "MI",
"postal_code": "480935000",
"telephone_number": "586-573-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIGOLD",
"first_name": "SHAYNA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801096604",
"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 Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.