Clarity Clinic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLARITY CLINIC LLC

Practice address

1725 Pinecrest Dr
Ferndale, MI 48220-1624

Phone

(248) 289-3109

NPI assigned

Sep 26, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Kotsias, LMSWNPI 1083126437

Title

Owner

Phone

(847) 664-9593

Specialties & licenses 1

Addresses

Other names 1

• The Clarity Clinic Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Daniel Kotsias

  • Clinical Social Worker
  • West Bloomfield, MI
  • NPI 1083126437
  Medicare reassignment Authorized official
• Wendy Ann Hillebrand, MD

  • Psychiatry Physician
  • Bingham Farms, MI
  • NPI 1144397068
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1326699604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25223 PRAIRIE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752076",
            "telephone_number": "847-664-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINECREST DR",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201624",
            "telephone_number": "248-289-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25223 Prairie Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752076",
            "country_code": "US",
            "telephone_number": "847-664-9593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARITY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "KOTSIAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-664-9593",
        "authorized_official_credential": "LMSW"
    },
    "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": "The Clarity Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Renee Chivis, LMSW
• Jacob Samuel Chmara, LLP
• Shuhrat Shakil Choudhury
• Alandra D Chuney
• City of Ferndale
• Matthew Daniel Clinton
• Emma Coffey
• Julia Cohen, LMSW
• Taylor Lee Colquitt, LLMSW
• Ryan Anthony Commet, ABO-AC

• Clinical Social Worker in Ferndale, MI
• Providers in Ferndale, 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 Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.