Shanel Clum, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851100406 Issued in MI

Practice address

1170 Charter Dr Ste B
Flint, MI 48532-3587

Phone

(810) 877-6343

Fax

(810) 674-0044

NPI assigned

Aug 17, 2021

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Senior Therapeutic Solutions LLCGroup PAC ID 7719325042, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Senior Therapeutic Solutions, LLC

  • Clinical Social Worker
  • Burton, MI
  • NPI 1215799978
  Medicare reassignment Care Compare group NPD
• The Traini Counseling Group P.C.

  • Clinical Social Worker
  • Flint, MI
  • NPI 1760977094
  NPD
• Oceanside Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1659234375
  NPD (past)

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1477229847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-877-6343",
            "fax_number": "810-674-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CHARTER DR STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323587",
            "telephone_number": "810-877-6343",
            "fax_number": "810-674-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUM",
        "first_name": "SHANEL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851100406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Climis, DPM
• Alena Mari Clinkston, LMSW
• Clio Road Pharmacy Inc
• Megan Marie Cloutier
• Alicia Clover
• Clarissa C Co, PT
• Jakeira Cobb
• Kayla Cobb, MSOTRL
• Felicia Cobbin, P.T.
• Michael Cobbin I

• Clinical Social Worker in Flint, MI
• Providers in Flint, 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 Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.