Active NPI
Perkins-McClung and Associates Corp
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1780838466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801081614
- Legal business name
- PERKINS-MCCLUNG AND ASSOCIATES CORP
- Practice address
- 14342 E Jefferson Ave
Detroit, MI 48215-2932 - Phone
- (313) 244-5203
- NPI assigned
- Nov 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bernaldine Perkins McClung, LMSW, CSW, CAAC
- Title
- Clinical Therapist
- Phone
- (313) 244-5203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801081614 | MI | Primary |
Addresses
Primary practice location
14342 E Jefferson Ave
Detroit, MI 48215-2932
Mailing address
14342 E Jefferson Ave
Detroit, MI 48215-2932
Phone (313) 244-5203
National Provider Directory
National Provider DirectoryLocations
14342 E Jefferson Ave
Detroit, MI 48215
Phone (313) 244-5203
15001 E Jefferson Ave
Grosse Pointe Park, MI 48230
Phone (313) 244-5203
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Livonia, MI
- NPI 1689780983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1780838466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14342 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152932",
"telephone_number": "313-244-5203",
"fax_number": "313-331-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14342 E JEFFERSON AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482152932",
"telephone_number": "313-244-5203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERKINS-MCCLUNG AND ASSOCIATES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-08",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "MCCLUNG",
"authorized_official_first_name": "BERNALDINE",
"authorized_official_middle_name": "PERKINS",
"authorized_official_title_or_position": "CLINICAL THERAPIST",
"authorized_official_telephone_number": "313-244-5203",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMSW, CSW, CAAC"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801081614",
"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 Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.