Individual provider Active NPI

Pallavi Munikrishna

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1598930521
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6301012007 Issued in MI
Practice address
4321 E McNichols Rd
Detroit, MI 48212-1720
Phone
(313) 369-1717
NPI assigned
Apr 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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 6301012007 MI Primary

Addresses

Primary practice location

4321 E McNichols Rd
Detroit, MI 48212-1720

Mailing address

3430 Ridgeview CT Apt 2206
Rochester Hills, MI 48309-2787
Phone (248) 622-3209

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1598930521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 RIDGEVIEW CT APT 2206",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092787",
            "telephone_number": "248-622-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121720",
            "telephone_number": "313-369-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIKRISHNA",
        "first_name": "PALLAVI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6301012007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.