Individual provider Active NPI

Tameka Kenyetta Arnold, LMSW

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1538320155
Registry record updated Mar 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085961 Issued in MI
Practice address
22777 Harper Ave
Suite 208 a
Saint Clair Shores, MI 48080-1868
Phone
(586) 945-6177
NPI assigned
Jun 17, 2008
Last updated
Mar 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085961 MI Primary

Addresses

Primary practice location

22777 Harper Ave
Suite 208 a
Saint Clair Shores, MI 48080-1868

Mailing address

22777 Harper Ave
Suite 208 a
Saint Clair Shores, MI 48080-1868
Phone (586) 945-6177

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801085961MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowering Minds, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1538320155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE",
            "address_2": "SUITE 208 A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801868",
            "telephone_number": "586-945-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE",
            "address_2": "SUITE 208 A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801868",
            "telephone_number": "586-945-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "TAMEKA",
        "middle_name": "KENYETTA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.