Carl Michael Herrell, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801058523 Issued in MI

Practice address

220 Bagley St
Suite 700
Detroit, MI 48226-1400

Phone

(313) 965-2141

Fax

(313) 961-4612

NPI assigned

Feb 2, 2007

Last updated

Jun 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Service of Detroit & Wayne County

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1235437047

  Counselor

  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1710025408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 DREXEL ST",
            "address_2": "F2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136744",
            "telephone_number": "313-303-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BAGLEY ST",
            "address_2": "SUITE 700",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261400",
            "telephone_number": "313-965-2141",
            "fax_number": "313-961-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "CARL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801058523",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801058523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany A Hernandez, CRNA
• Katrice L Herndon-Ogunleye, MD
• Brieanna Herndon
• Chriseana Herndon
• Enyla Marie Herndon
• Chloe Guadalupe Herrera, LLMSW
• Michael Joseph Herriges Jr., MBBS
• Christina Herrild
• Idris A Herring, MSW
• Kimberly Lynn Herrmann

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.