Michelle Marie Clark, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083967 Issued in MI

Practice address

7366 Green Valley Dr
Grand Blanc, MI 48439-8194

Phone

(810) 813-1768

NPI assigned

Feb 6, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1346389079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "800-395-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7366 GREEN VALLEY DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398194",
            "telephone_number": "810-813-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Hancock St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486024224",
            "country_code": "US",
            "telephone_number": "989-797-3512",
            "fax_number": "989-799-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Jolly Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643546",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "fax_number": "833-329-6632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S Linden Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485329800",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "fax_number": "833-329-6632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6549 Town Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483464824",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "fax_number": "833-329-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Christopher, DO
• Yong S Chung, M.D.
• Linda Chute, P.A.
• Joelle Ann Cirella-Grandy, OTR/L
• Shane T. Citron, D.D.S., M.D.
• Toni Clark, M.ED, BCBA, LBA
• Kenyetta Clarke
• Valeria Dionne Clarke
• Camara D Clements
• CMR Ultrasound, LLC.

• Clinical Social Worker in Grand Blanc, MI
• Providers in Grand Blanc, 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 Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.