Clinical Perfection

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086140 Issued in MI

Legal business name

CLINICAL PERFECTION

Practice address

11457 Shoemaker St
Detroit, MI 48213-3418

Phone

(313) 207-0278

Fax

(248) 659-1528

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Roderick Funderburg Jr., LLMSW

Title

President

Phone

(313) 207-0278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1437417805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 DRAKESHIRE LN",
            "address_2": "101",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353214",
            "telephone_number": "313-207-0278",
            "fax_number": "248-659-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11457 SHOEMAKER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133418",
            "telephone_number": "313-207-0278",
            "fax_number": "248-659-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PERFECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURG",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "RODERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-207-0278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Cleveland, RN
• Mary Bentley Cleveland, MSN RN
• Michelle Cleveland
• Charlotte Cline
• Courtney Ann Cline, CCC-SLP
• Antonio Clinton
• Keyon Clinton
• Glenn Clippard, M.A., CCC-A
• Brittni Clopton, MD
• Megan Barbara Clor, MS, LPC

• 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 Apr 24, 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.