Active NPI
Christie L Re, LMSW
- Clinical Social Worker
- Brighton, MI
National Provider Identifier
1851696280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801071203
- Practice address
- 3345 Moraine Dr
Brighton, MI 48114-8108 - Phone
- (810) 623-6096
- NPI assigned
- Jan 15, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801071203 | MI | Primary |
Addresses
Primary practice location
3345 Moraine Dr
Brighton, MI 48114-8108
Mailing address
3345 Moraine Dr
Brighton, MI 48114-8108
Phone (810) 623-6096
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801071203 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1851696280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 MORAINE DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481148108",
"telephone_number": "810-623-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 MORAINE DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481148108",
"telephone_number": "810-623-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RE",
"first_name": "CHRISTIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-15",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.