Individual provider Active NPI

Milena Ristic, LLMSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1437837457
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116139 Issued in MI
Practice address
34911 Aquarius Dr Apt A174
Sterling Heights, MI 48310-5628
Phone
(313) 289-3603
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851116139 MI Primary

Addresses

Primary practice location

34911 Aquarius Dr Apt A174
Sterling Heights, MI 48310-5628

Mailing address

34911 Aquarius Dr Apt A174
Sterling Heights, MI 48310-5628
Phone (313) 289-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851116139MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1437837457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34911 AQUARIUS DR APT A174",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105628",
            "telephone_number": "313-289-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34911 AQUARIUS DR APT A174",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105628",
            "telephone_number": "313-289-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTIC",
        "first_name": "MILENA",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.