Satabdi Banerjee, LLPC, TLLP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6401016552 Issued in MI

Practice address

1010 E West Maple Rd
Walled Lake, MI 48390-3571

Phone

(248) 313-2900

NPI assigned

Apr 18, 2018

Last updated

May 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1710474499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30734 BEECHWOOD ST APT 47111",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932804",
            "telephone_number": "908-630-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903571",
            "telephone_number": "248-313-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25639 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481274817",
            "country_code": "US",
            "telephone_number": "313-277-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "SATABDI",
        "credential": "LLPC, TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6401016552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38-1402860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lois Anderson
• Nikola Andreev, DC
• Savannah Arvoy
• Connie Asher, LMSW
• Jessica Riyadh Babby, MA, CF-SLP/L
• Mariyam Batool, RBT
• Tainara Benassi Lourenco, RDN
• Courtney Marie Bender
• Elizabeth Marie Blomquist, BSW
• Melissa Renee Bogdalek, PSYD, LLP

• Case Manager/Care Coordinator in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.