Micheline Sommers, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801033725 Issued in MI

Legal business name

MICHELINE SOMMERS, LLC

Practice address

945 S Rochester Rd
Rochester Hills, MI 48307-2762

Phone

(248) 434-8227

Fax

(248) 841-4714

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Micheline Sommers, LMSWNPI 1326185109

Title

Clinical Social Worker

Phone

(248) 652-8528

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Micheline Sommers, LMSW

  • Clinical Social Worker
  • Pontiac, MI
  • NPI 1326185109

  Clinical, MI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1922463223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 GRANDVIEW DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064031",
            "telephone_number": "248-652-8528",
            "fax_number": "248-841-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072762",
            "telephone_number": "248-434-8227",
            "fax_number": "248-841-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELINE SOMMERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "SOMMERS",
        "authorized_official_first_name": "MICHELINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-652-8528",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11821930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1326185109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Salter DPM PC
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• Michigan Healthcare Professionals PC

• All providers in Rochester Hills, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.

Verify at the official NPI Registry.