Individual provider Active NPI

Grace Pernecky

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1609647775
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851119338 Issued in MI
Practice address
31275 Northwestern Hwy Ste 203
Farmington Hills, MI 48334-2579
Phone
(313) 583-7422
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 6851119338 MI Primary

Addresses

Primary practice location

31275 Northwestern Hwy Ste 203
Farmington Hills, MI 48334-2579

Mailing address

31275 Northwestern Hwy Ste 203
Farmington Hills, MI 48334-2579
Phone (313) 583-7422

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
6851119338MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southfield Mental Health Associates PC PastSince Jan 1, 2024 Accepting new patients
Buys Consulting, LLC Dba BLND Health Clinical PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1609647775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31275 NORTHWESTERN HWY STE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342579",
            "telephone_number": "313-583-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31275 NORTHWESTERN HWY STE 203",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342579",
            "telephone_number": "313-583-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNECKY",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.