Active NPI
Constance C. Conklin, LMSW
- Clinical Social Worker
- Howell, MI
National Provider Identifier
1760977227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801060497
- Practice address
- 622 E Grand River Ave
Howell, MI 48843-2329 - Phone
- (517) 546-4126
- Fax
- (517) 552-2526
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801060497 | MI | Primary |
Addresses
Primary practice location
622 E Grand River Ave
Howell, MI 48843-2329
Mailing address
622 E Grand River Ave
Howell, MI 48843-2329
Phone (517) 546-4126
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801060497 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1760977227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488432329",
"telephone_number": "517-546-4126",
"fax_number": "517-552-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 E GRAND RIVER AVE",
"city": "HOWELL",
"state": "MI",
"postal_code": "488432329",
"telephone_number": "517-546-4126",
"fax_number": "517-552-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLIN",
"first_name": "CONSTANCE",
"middle_name": "C.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801060497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.