Living Out Loud

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801088409 Issued in MI

Legal business name

LIVING OUT LOUD

Practice address

22359 Saint Gertrude St
Saint Clair Shores, MI 48081-2526

Phone

(586) 945-4488

NPI assigned

May 8, 2008

Last updated

Apr 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Charlotte Beachem, LMSWNPI 1316126824

Title

Ceo

Phone

(586) 945-4488

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Beachem, LMSW

  • Clinical Social Worker
  • Southgate, MI
  • NPI 1316126824
  NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1366619389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17301 LIVERNOIS AVE",
            "address_2": "SUITE 158",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212758",
            "telephone_number": "586-738-0488",
            "fax_number": "586-766-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22359 SAINT GERTRUDE ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812526",
            "telephone_number": "586-945-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING OUT LOUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "BEACHEM",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-945-4488",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Sue Liovas, M.D.
• Lip Therapy and Counseling
• Melissa Lipari, PHARM.D.
• Miche'Le Giorgio Lipari
• Zachary Jonathan Liss, M.D.
• Victoria Jean-Maxin Lofgren
• Victoria Marie Loft, M.D
• Erika Lombardo, ATC, PTA
• Jennifer Lombardo, PA
• Hannah Christine Long

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 16, 2012; 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.