Organization Active NPI

Metro Family Support Counseling PC

Doing business as none

  • Clinical Social Worker
  • Sterling HTS, MI
National Provider Identifier
1922051416
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801032921 Issued in MI
Legal business name
METRO FAMILY SUPPORT COUNSELING PC
Doing business as
none
Practice address
39393 Van Dyke Ste 209,
Sterling HTS,, MI 48313-4637
Phone
(586) 274-4394
Fax
(586) 274-4701
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Ms. Denise Spencer, LMSW
Title
President
Phone
(586) 274-4394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801032921 MI Primary

Addresses

Primary practice location

39393 Van Dyke Ste 209,
Sterling HTS,, MI 48313-4637

Mailing address

39393 Van Dyke Ste 209
Sterling HTS,, MI 48313-4637
Phone (586) 274-4394

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

17097 17 Mile Rd
Ste 209
Clinton Township, MI 48038
Phone (586) 260-5565

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1922051416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE STE 209",
            "city": "STERLING HTS,",
            "state": "MI",
            "postal_code": "483134637",
            "telephone_number": "586-274-4394",
            "fax_number": "586-274-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39393 VAN DYKE STE 209,",
            "city": "STERLING HTS,",
            "state": "MI",
            "postal_code": "483134637",
            "telephone_number": "586-274-4394",
            "fax_number": "586-274-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO FAMILY SUPPORT COUNSELING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-274-4394",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801032921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling HTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.