Individual provider Active NPI

Catherine Arielle Pannell, LLMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1760955751
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099607 Issued in MI
Practice address
14919 Appoline St
Detroit, MI 48227-3955
Phone
(248) 818-3791
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801099607 MI Primary

Addresses

Primary practice location

14919 Appoline St
Detroit, MI 48227-3955

Mailing address

14919 Appoline St
Detroit, MI 48227-3955
Phone (248) 818-3791

Other practice location 1

12800 E Warren Ave
Detroit, MI 48215-2061
Phone (313) 308-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801099607MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1760955751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14919 APPOLINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273955",
            "telephone_number": "248-818-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14919 APPOLINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273955",
            "telephone_number": "248-818-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 E Warren Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482152061",
            "country_code": "US",
            "telephone_number": "313-308-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANNELL",
        "first_name": "CATHERINE",
        "middle_name": "ARIELLE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.