Janette Shallal, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801008739 Issued in MI

Practice address

5049 Elizabeth Lake Rd
Waterford, MI 48327-2741

Phone

(734) 453-5603

Fax

(734) 453-5619

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jas Consultants

  • Clinical Social Worker
  • Waterford, MI
  • NPI 1669214771
  NPD Authorized official
• Kadima Jewish Support Services for Adults With Mental Illness

  • Community/Behavioral Health Agency
  • Southfield, MI
  • NPI 1184836082
  NPD (past) Authorized official
• Counseling and Evaluation PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelby TWP, MI
  • NPI 1588609861
  NPD (past)
• Kaleidoscope Counseling Services

  • Psychologist
  • Waterford, MI
  • NPI 1952976425
  NPD (past)
• Pro Med Management Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shelby TWP, MI
  • NPI 1477590917

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1801955802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 ELIZABETH LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272741",
            "telephone_number": "734-453-5603",
            "fax_number": "734-453-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 ELIZABETH LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483272741",
            "telephone_number": "734-453-5603",
            "fax_number": "734-453-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLAL",
        "first_name": "JANETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801008739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarjeet Sethi, MD
• Seva Dental Michigan PC
• Ashley Sewell
• Kavita M Shah, RPT
• Mark Shain, DDS
• Rick J Shamoon, PHARMD
• Simon Shamoon, DDS
• Shamoun Dental PLLC
• Shane Davidson DDS PC
• Katherine Sharp, MA

• Clinical Social Worker in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.