Individual provider Active NPI

Melissa Kathleen Katcher, LLMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1689251324
Registry record updated Mar 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107596 Issued in MI
Practice address
34607 Fendt St
Farmington Hills, MI 48335-5007
Phone
(734) 776-1511
NPI assigned
Mar 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2021

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 6801107596 MI Primary

Addresses

Primary practice location

34607 Fendt St
Farmington Hills, MI 48335-5007

Mailing address

34607 Fendt St
Farmington Hills, MI 48335-5007
Phone (734) 776-1511

Other practice location 1

33493 W 14 Mile Rd
Farmington Hills, MI 48331-1587
Phone (248) 851-5437

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
6801107596MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1689251324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34607 FENDT ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355007",
            "telephone_number": "734-776-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34607 FENDT ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355007",
            "telephone_number": "734-776-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33493 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483311587",
            "country_code": "US",
            "telephone_number": "248-851-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATCHER",
        "first_name": "MELISSA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107596",
            "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 Mar 27, 2021; 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.