Individual provider Active NPI

Sherry Lynn Mauchline, LMSW

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1699702704
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017424 Issued in MI
Practice address
37040 Garfield Rd
T 5
Clinton Township, MI 48036-3646
Phone
(586) 977-1794
Fax
(586) 795-2468
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2010

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 6801017424 MI Primary

Addresses

Primary practice location

37040 Garfield Rd
T 5
Clinton Township, MI 48036-3646

Mailing address

38912 Bronson Dr
Sterling Heights, MI 48310-2815
Phone (586) 977-1794

Other identifiers 1

IdentifierTypeStateIssuer
0890918OtherMIBLUE CROSS BLUE SHIELD

Other names 1

  • Sherry Carson Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1699702704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38912 BRONSON DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102815",
            "telephone_number": "586-977-1794",
            "fax_number": "586-795-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37040 GARFIELD RD",
            "address_2": "T 5",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363646",
            "telephone_number": "586-977-1794",
            "fax_number": "586-795-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCHLINE",
        "first_name": "SHERRY",
        "middle_name": "LYNN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801017424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0890918",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "CARSON",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.