Organization Active NPI

Journey Within LLC

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1720521958
Registry record updated Nov 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095173 Issued in MI
Legal business name
JOURNEY WITHIN LLC
Practice address
29623 Northwestern Hwy
Southfield, MI 48034-1076
Phone
(248) 225-8240
NPI assigned
Nov 20, 2016
Last updated
Nov 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2016

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

Authorized official

Name
Mrs. Lori Ellen Gordon-Michaeli, LMSWNPI 1346616166
Title
Clinical Social Worker
Phone
(248) 225-8240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095173 MI Primary

Addresses

Primary practice location

29623 Northwestern Hwy
Southfield, MI 48034-1076

Mailing address

26342 Dundalk St
Farmington Hills, MI 48334-4812
Phone (248) 225-8240

Other identifiers 1

IdentifierTypeStateIssuer
0963822OtherMIBLUE CROSS

National Provider Directory

National Provider Directory

Locations

31800 Northwestern Hwy
Ste 200
Farmington Hills, MI 48334
Phone (248) 225-8240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479600000000",
    "number": "1720521958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26342 DUNDALK ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344812",
            "telephone_number": "248-225-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29623 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341076",
            "telephone_number": "248-225-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY WITHIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-20",
        "last_updated": "2016-11-20",
        "status": "A",
        "authorized_official_last_name": "GORDON-MICHAELI",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-225-8240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0963822",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2016; 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.