Active NPI
MJL Therapy PLLC
- Clinical Social Worker
- Clarkston, MI
National Provider Identifier
1912484411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801092847
- Legal business name
- MJL THERAPY PLLC
- Practice address
- 6033 Campfire Cir
Clarkston, MI 48346-2297 - Phone
- (248) 921-1348
- Fax
- (734) 207-5326
- NPI assigned
- Jul 26, 2018
- 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
- Mark Levenson, LMSW
- Title
- Owner
- Phone
- (248) 921-1348
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801092847 | MI | Primary |
Addresses
Primary practice location
6033 Campfire Cir
Clarkston, MI 48346-2297
Mailing address
6033 Campfire Cir
Clarkston, MI 48346-2297
Phone (248) 921-1348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5745 W Maple Rd
Ste 213
West Bloomfield, MI 48322
Phone (248) 921-1348
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Clarkston, MI
- NPI 1316278021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1912484411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6033 CAMPFIRE CIR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462297",
"telephone_number": "248-921-1348",
"fax_number": "734-207-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 CAMPFIRE CIR",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483462297",
"telephone_number": "248-921-1348",
"fax_number": "734-207-5326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-26",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "LEVENSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-921-1348",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801092847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.