Mindful Connections LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL CONNECTIONS LLC

Practice address

13559 Wesley St
Southgate, MI 48195-1716

Phone

(734) 931-0647

NPI assigned

Jun 20, 2020

Organization subpart

No

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

Authorized official

Name

Shannon McInchak, LMSWNPI 1730518267

Title

Owner

Phone

(734) 931-0647

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon McInchak, LLMSW

  • Clinical Social Worker
  • Southgate, MI
  • NPI 1730518267
  NPD Authorized official

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1730705245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23772 WEST RD # 209",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481833050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13559 WESLEY ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951716",
            "telephone_number": "734-931-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "MCINCHAK",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-931-0647",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Miller
• Morgan Marie Miller
• Margaret Denise Millhench, LPC
• Elizabeth Mills
• Patricia Mary Milner, D.O.
• Ann Mitchell, LLBSW, CADC
• Erik Spencer Mitchell, LMSW
• Felicia Marie Mitchell, BS, LSST
• Lori Sue Mitchell, RN
• Tanya D Mizell, NCC LPC CCTP2 ASDCS

• Clinical Social Worker in Southgate, MI
• Providers in Southgate, 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 Jun 20, 2020; 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.