Chlorine F Wimberly, LCSW, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801070146 Issued in MI

Practice address

2711 E. Jefferson
Detroit, MI 48207-4105

Phone

(313) 657-5237

NPI assigned

Nov 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Irise Counseling Service LLC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1619122009
  Medicare reassignment Authorized official
• Kingdom Living Solutions

  • Social Worker
  • Eastpointe, MI
  • NPI 1457194128
  NPD
• Michigan Employment & Training Plus

  dba Met Plus

  • Home Health Aide
  • Detroit, MI
  • NPI 1154173185
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1598910986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 E. JEFFERSON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074105",
            "telephone_number": "313-657-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 E. JEFFERSON",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074105",
            "telephone_number": "313-657-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "CHLORINE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soni Wilson, DC
• Tahjae Wilson
• Tracey Wilson
• William Wilson Jr., CPRC
• Venus Wimberley-Marshall
• Lisa Darnette Wimbley
• Shantel Wimbush
• Wimby Inc
• Curt Wimmer, MD
• Stephanie Wims, RN

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.