Patrick L. Schackmann LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATRICK L. SCHACKMANN LLC

Practice address

36358 Garfield, Ste One
Clinton TWP, MI 48035-1170

Phone

(586) 945-5197

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Leonard Shackmann, ACSW

Title

Owner/Provider

Phone

(586) 945-5197

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1720743297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36358 GARFIELD, STE ONE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351170",
            "telephone_number": "586-945-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36358 GARFIELD, STE ONE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351170",
            "telephone_number": "586-945-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK L. SCHACKMANN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "SHACKMANN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "586-945-5197",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0960546",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dhruv Patel, DPT
• Malati Arun Kumar Patel, M.D
• Viral Patel, PT
• Jamie Paternoster, D.C.
• Patricia Deloof MD PLLC
• Selina Patto
• Pcor LLC (Henry Ford Optimeyes)
• Zachary Dale Pearce, D.O.
• Erica Pechman
• Samantha Marie Peeples, MD

• Clinical Social Worker in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Clinical Social Worker in Michigan

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