Individual provider Active NPI

Caitlin Desjardins, LLMSW

  • Social Worker
  • Troy, MI
National Provider Identifier
1467836320
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801098085 Issued in MI
Practice address
575 E Big Beaver Rd
Suite 260
Troy, MI 48083-1300
Phone
(248) 890-3047
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801098085 MI Primary

Addresses

Primary practice location

575 E Big Beaver Rd
Suite 260
Troy, MI 48083-1300

Mailing address

575 E Big Beaver Rd
Suite 260
Troy, MI 48083-1300
Phone (248) 890-3047

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
6801098085MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desjardins Therapeutic Services LLC Current Accepting new patients

Locations

575 E Big Beaver Rd
Ste 260
Troy, MI 48083
Phone (248) 515-8873

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1467836320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E BIG BEAVER RD",
            "address_2": "SUITE 260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831300",
            "telephone_number": "248-890-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E BIG BEAVER RD",
            "address_2": "SUITE 260",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831300",
            "telephone_number": "248-890-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "CAITLIN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.