Michigan Core Care LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086254 Issued in MI

Legal business name

MICHIGAN CORE CARE LLC

Practice address

3085 Hallmark CT
Suite 3
Saginaw, MI 48603-6803

Phone

(989) 790-5990

Fax

(989) 790-5991

NPI assigned

Apr 12, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Ranae Stewart, LMSW

Title

Owner

Phone

(989) 790-5990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1902163207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HALLMARK CT",
            "address_2": "SUITE 3",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486036803",
            "telephone_number": "989-790-5990",
            "fax_number": "989-790-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN CORE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "RANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-790-5990",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.