Organization Active NPI

Jackie Placidi MSW, LMSW

  • Community/Behavioral Health Agency
  • Saint Clair Shores, MI
National Provider Identifier
1851765341
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801090134 Issued in MI
Legal business name
JACKIE PLACIDI MSW, LMSW
Practice address
21610 E 11 Mile Rd Ste 5
Saint Clair Shores, MI 48081-1671
Phone
(586) 778-7800
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Authorized official

Name
Jackie Placidi, MSW, LMSWNPI 1548411614
Title
Owner
Phone
(586) 778-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801090134 MI Primary

Addresses

Primary practice location

21610 E 11 Mile Rd Ste 5
Saint Clair Shores, MI 48081-1671

Mailing address

21610 E 11 Mile Rd Ste 5
Saint Clair Shores, MI 48081-1671
Phone (586) 778-7800

National Provider Directory

National Provider Directory

Locations

21610 E 11 Mile Rd
Ste 5
Saint Clair Shores, MI 48081
Phone (248) 277-2679

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": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1851765341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21610 E 11 MILE RD STE 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811671",
            "telephone_number": "586-778-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21610 E 11 MILE RD STE 5",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811671",
            "telephone_number": "586-778-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE PLACIDI MSW, LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "PLACIDI",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-778-7800",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801090134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.