Theresa Lynn Cipponeri, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

M748405 Issued in MI

Practice address

17937 Hall Road
Macomb, MI 48044

Phone

(586) 255-0499

NPI assigned

Jun 27, 2017

Last updated

Jun 27, 2017By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1467972869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18008 HERITAGE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17937 HALL ROAD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-255-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPPONERI",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "M748405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Marie Christensen, PHARM D
• Rachelle Marie Christensen, RPH
• Christopher McNeil D.C. P.C.
• Carly Christy, PT, DPT
• Angela Chubb, RN
• Stephanie Ann Civic, LMT
• Clarity Home Health Care
• Clements Chiropractic Clinic, Inc.
• CNS Healthcare
• Cobblestone Ridge Dentistry

• Clinical Social Worker in Macomb, MI
• Providers in Macomb, 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 Jun 27, 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.