Active NPI
John Coonan, MALBSW
- Social Worker
- Clinton TWP, MI
National Provider Identifier
1639217581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801065575
- Practice address
- 21885 Dunham Rd
Suite #5
Clinton TWP, MI 48036-1030 - Phone
- (586) 469-5200
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801065575 | MI | Primary |
Addresses
Primary practice location
21885 Dunham Rd
Suite #5
Clinton TWP, MI 48036-1030
Mailing address
35711 Jolaine CT
Richmond, MI 48062-5628
Phone (586) 727-1431
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801065575 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Macomb | 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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639217581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35711 JOLAINE CT",
"city": "RICHMOND",
"state": "MI",
"postal_code": "480625628",
"telephone_number": "586-727-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21885 DUNHAM RD",
"address_2": "SUITE #5",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480361030",
"telephone_number": "586-469-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONAN",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MALBSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801065575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton TWP, MI
- Comprehensive Woman's Care, PC
- Jeffrey Allen Conn, D.C.
- Jena Leigh Connell
- Deborah Lynn Conrad-Garrisi, PHD, LP, RN
- Convenient CT PC
- Cornerstone Medical Group (St John Weight Loss Institute)
- Stacy L Corrado, D.C.
- Colleen Coughlin
- County of Macomb
- Craig E. Riffel, D.C., PLLC (Metropolitan Chiropractic Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.