Lana Trifanova

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801103318 Issued in MI

Practice address

30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3178

Phone

(248) 539-8781

Fax

(248) 539-8940

NPI assigned

Aug 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1740890326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY STE 316C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343178",
            "telephone_number": "248-539-8781",
            "fax_number": "248-539-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY STE 316C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343178",
            "telephone_number": "248-539-8781",
            "fax_number": "248-539-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIFANOVA",
        "first_name": "LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, 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 Aug 7, 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.