Karen Jill Farrell, L.M.S.W.,C.M.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801076047 Issued in MI

Practice address

28592 Orchard Lake Rd
301
Farmington Hills, MI 48334-2961

Phone

(248) 538-0261

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jill Farrell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1508915026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD",
            "address_2": "301",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342961",
            "telephone_number": "248-538-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD",
            "address_2": "301",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342961",
            "telephone_number": "248-538-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "KAREN",
        "middle_name": "JILL",
        "credential": "L.M.S.W.,C.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801076047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8008957350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI COMMUNITY BASED RESOU",
            "identifier": "1104816867",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "FARRELL",
            "credential": "L.M.S.W.,C.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tobias Farnsworth
• Samerah Farooq
• Ariana Farr
• Julia Farra
• Mohammad Waseem Farra, MD
• Katelyn Farrell
• Norma Farrell
• Sabrina Farrell
• Nicole Farricy
• Lavenia M. Farris-Agu

• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, 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 20, 2007; 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.