Julissa Annabel Chavero, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851116203 Issued in MI

Practice address

5716 Michigan Ave Ste 4000
Detroit, MI 48210-3039

Phone

(313) 213-8962

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1326730060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17366 REED ST",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221139",
            "telephone_number": "313-324-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 MICHIGAN AVE STE 4000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482103039",
            "telephone_number": "313-213-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVERO",
        "first_name": "JULISSA",
        "middle_name": "ANNABEL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zane Chaudhry
• Davesh Nitinkumar Chauhan
• Gaurav Chauhan, MD
• Monika Chauhan, MBBS
• Parika Chauhan, DPM
• Juliana Chaves de Oliveira, MD
• Joseph Javier Chavez Roman, M.D.
• Roxana Guadalupe Chavez-Rodriguez
• Ines Chavez
• Kayla Chavez, NONE

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 May 22, 2023; 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.