Active NPI
John F Neumann Jr., MSW
- Clinical Social Worker
- Waterford, MI
National Provider Identifier
1669643169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801021492
- Practice address
- 3513 Elizabeth Lake Rd
#209
Waterford, MI 48328-3075 - Phone
- (248) 738-1100
- NPI assigned
- Mar 12, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801021492 | MI | Primary |
Addresses
Primary practice location
3513 Elizabeth Lake Rd
#209
Waterford, MI 48328-3075
Mailing address
3513 Elizabeth Lake Rd
#209
Waterford, MI 48328-3075
Phone (248) 738-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0897719 | Other | MI | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 6801021492 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1669643169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3513 ELIZABETH LAKE RD",
"address_2": "#209",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283075",
"telephone_number": "248-738-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3513 ELIZABETH LAKE RD",
"address_2": "#209",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283075",
"telephone_number": "248-738-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMANN",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801021492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0897719",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.