Active NPI
Elka Marie Chamberlain, CPSS, LLMSW
- Social Worker
- Mount Clemens, MI
National Provider Identifier
1770005381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801101538
- Practice address
- 175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562 - Phone
- (586) 754-3060
- NPI assigned
- Jul 14, 2017
- Last updated
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801101538 | MI | Primary |
| Peer Specialist | 175T00000X | MI |
Addresses
Primary practice location
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Mailing address
491 Onyx Cir
Whitmore Lake, MI 48189-8278
Phone (810) 844-6068
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801101538 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499990400000",
"number": "1770005381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 ONYX CIR",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481898278",
"telephone_number": "810-844-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N GROESBECK HWY",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480431562",
"telephone_number": "586-754-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "ELKA",
"middle_name": "MARIE",
"credential": "CPSS, LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101538",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.