Jill Michele-Reese Stante, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091919 Issued in MI

Practice address

3 E Main St Ste 1
Milan, MI 48160-1282

Phone

(734) 506-8565

NPI assigned

Nov 13, 2013

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jill Michele Reese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1578993580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601282",
            "telephone_number": "734-506-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E MAIN ST STE 1",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601282",
            "telephone_number": "734-506-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTE",
        "first_name": "JILL",
        "middle_name": "MICHELE-REESE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091919",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "REESE",
            "middle_name": "MICHELE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shift Behavioral Health
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• Samantha Jean Sweeney, DC
• Faith Destiny Ann Sweet, FSD

• Clinical Social Worker in Milan, MI
• Providers in Milan, 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 Sep 22, 2021; 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.