Child Safe Michigan

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801074061 Issued in MI

Legal business name

CHILD SAFE MICHIGAN

Practice address

30680 Montpelier Dr
Suite 250
Madison Heights, MI 48071-1802

Phone

(248) 353-0921

Fax

(248) 307-9595

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Marie Lesniak, LMSW

Title

Executive Director

Phone

(248) 353-0921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1528473766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30680 MONTPELIER DR",
            "address_2": "SUITE 250",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711802",
            "telephone_number": "248-353-0921",
            "fax_number": "248-307-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30680 MONTPELIER DR",
            "address_2": "SUITE 250",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711802",
            "telephone_number": "248-353-0921",
            "fax_number": "248-307-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD SAFE MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "LESNIAK",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-353-0921",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801074061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.