NPIMap

Organization Active NPI

Jason S Wheatley

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1912387697
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086655 Issued in MI
Legal business name
JASON S WHEATLEY
Practice address
2483 S Linden Rd Ste 240
Flint, MI 48532-5478
Phone
(810) 493-2935
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
Jason Wheatley, LMSWNPI 1437227386
Title
Clinical Director
Phone
(810) 347-8143

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801086655 MI Primary

Addresses

Primary practice location

2483 S Linden Rd Ste 240
Flint, MI 48532-5478

Mailing address

2469 Miami Beach Dr
Flint, MI 48507-1051

Other names 1

  • Jason Wheatley, LMSW Doing business as

National Provider Directory

National Provider Directory

Locations

2483 S Linden Rd
Ste 240
Flint, MI 48532
Phone (810) 347-8143

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1912387697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 MIAMI BEACH DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 S LINDEN RD STE 240",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325478",
            "telephone_number": "810-493-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S WHEATLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "810-347-8143",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jason Wheatley, LMSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.