Organization Active NPI

Perkins-McClung and Associates Corp

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1780838466
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081614 Issued in MI
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

Updated by the provider on Jun 20, 2012

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.