Active NPI
Emma Johnson
- Clinical Social Worker
- Saint Clair Shores, MI
National Provider Identifier
1679336465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 29800 Harper Ave
Saint Clair Shores, MI 48082-1655 - Phone
- (248) 410-4797
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
29800 Harper Ave
Saint Clair Shores, MI 48082-1655
Mailing address
29800 Harper Ave Ste 4
Saint Clair Shores, MI 48082-1655
Phone (248) 238-8074
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opening New Doors LLC | Social Worker | Current | Accepting new patients |
| Henry Ford Health Eastwood Behavioral Health | Social Worker | Past | Accepting new patients |
Locations
29800 Harper Ave
Saint Clair Shores, MI 48082
Phone (248) 410-4797
29800 Harper Ave
Ste 4
Saint Clair Shores, MI 48082
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eastwood Clinics
- Social Worker
- Clinton Township, MI
- NPI 1396787701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1679336465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29800 HARPER AVE STE 4",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821655",
"telephone_number": "248-238-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29800 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480821655",
"telephone_number": "248-410-4797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.