Active NPI
Jackie Placidi MSW, LMSW
- Community/Behavioral Health Agency
- Saint Clair Shores, MI
National Provider Identifier
1851765341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6801090134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Placidi, MSW, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Saint Clair Shores, MI
- NPI 1548411614
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.