Mikki Lachelle Mason

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

8905 E Jefferson Ave
Apt 404
Detroit, MI 48214-4182

Phone

(734) 489-3563

NPI assigned

Jun 22, 2016

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 names 1

• Mikki Lachelle Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmason748858@direct.hfhs.org

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.

• Cornerstone Community Counseling LLC

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1386370716
  NPD Authorized official
• Ennis Center for Children, Inc

  • Clinical Social Worker
  • Pontiac, MI
  • NPI 1104244953
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1740631589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 E JEFFERSON AVE",
            "address_2": "APT 404",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482144182",
            "telephone_number": "734-489-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 E JEFFERSON AVE",
            "address_2": "APT 404",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482144182",
            "telephone_number": "734-489-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MIKKI",
        "middle_name": "LACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKKI",
            "last_name": "SMITH",
            "middle_name": "LACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Glynis N Mason
• Hortense Alice Mason, LMSW
• Jacinta L Mason, LLMSW
• Kai Mason, LLMSW
• Kianna S Mason
• Sahar Tibah Mason, LMSW
• William D Mason, MD
• Ameen A Masoodi, MD
• Peter Joseph Massa, MD
• Massage Matters Michigan LLC (Michigan Matters Universal Rehabilitation)

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Jan 15, 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.