Active NPI
Judith Shewach, LMSW, ACSW
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1891023313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801064538
- Practice address
- 15999 W 12 Mile Rd
Southfield, MI 48076-3013 - Phone
- (248) 559-8235
- Fax
- (248) 559-0229
- NPI assigned
- Nov 20, 2009
- 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 | 6801064538 | MI | Primary |
Addresses
Primary practice location
15999 W 12 Mile Rd
Southfield, MI 48076-3013
Mailing address
15999 W 12 Mile Rd
Southfield, MI 48076-3013
Phone (248) 559-8235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0M09230 | Other | MI | MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1891023313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15999 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763013",
"telephone_number": "248-559-8235",
"fax_number": "248-559-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15999 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763013",
"telephone_number": "248-559-8235",
"fax_number": "248-559-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEWACH",
"first_name": "JUDITH",
"credential": "LMSW, ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801064538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "0M09230",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.