Active NPI
Douglas Wayne Stanley, MSW, LMSW. FAODP
- Clinical Social Worker
- Bloomfield Hills, MI
National Provider Identifier
1487812038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090370
- Practice address
- 43902 Woodward Ave Ste 110
Bloomfield Hills, MI 48302-5021 - Phone
- (248) 338-1700
- Fax
- (248) 338-1732
- NPI assigned
- May 30, 2008
- Last updated
- Jun 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090370 | MI | Primary |
Addresses
Primary practice location
43902 Woodward Ave Ste 110
Bloomfield Hills, MI 48302-5021
Mailing address
10645 Highland Rd
White Lake, MI 48386-2147
Phone (248) 698-2250
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801090370 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker Clinic PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- White Lake, MI
- NPI 1255639464
-
- Clinical Psychologist
- Bloomfield Hills, MI
- NPI 1689100729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1487812038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10645 HIGHLAND RD",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862147",
"telephone_number": "248-698-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE STE 110",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025021",
"telephone_number": "248-338-1700",
"fax_number": "248-338-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DOUGLAS",
"middle_name": "WAYNE",
"credential": "MSW, LMSW. FAODP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.