Active NPI
Katie Paolucci, LLMSW
- Social Worker
- Center Line, MI
National Provider Identifier
1790267078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801102947
- Practice address
- 6900 E 10 Mile Rd
Center Line, MI 48015-1168 - Phone
- (586) 501-3070
- NPI assigned
- Sep 3, 2018
- Last updated
- Feb 6, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801102947 | MI | Primary |
Addresses
Primary practice location
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Mailing address
21606 Lakeland St
Saint Clair Shores, MI 48081-3701
Phone (586) 601-8146
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 |
|---|---|---|---|
| 6801102947 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1790267078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21606 LAKELAND ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813701",
"telephone_number": "586-601-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 E 10 MILE RD",
"city": "CENTER LINE",
"state": "MI",
"postal_code": "480151168",
"telephone_number": "586-501-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLUCCI",
"first_name": "KATIE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-03",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801102947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Center Line, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.