Active NPI
Larosa Counseling PLLC
- Clinical Social Worker
- Clinton Township, MI
National Provider Identifier
1962279729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LAROSA COUNSELING PLLC
- Practice address
- 36015 Vaughn St
Clinton Township, MI 48035-4434 - Phone
- (586) 218-0709
- NPI assigned
- Dec 11, 2023
- 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
- Kimberly Marie Bernock, LMSW
- Title
- Owner
- Phone
- (586) 218-0709
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 | Primary |
Addresses
Primary practice location
36015 Vaughn St
Clinton Township, MI 48035-4434
Mailing address
21366 Hall Rd # 1113
Clinton Township, MI 48038-1539
Phone (586) 218-0709
National Provider Directory
National Provider DirectoryPractitioners & 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
- Clinton Township, MI
- NPI 1689045890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1962279729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21366 HALL RD # 1113",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381539",
"telephone_number": "586-218-0709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36015 VAUGHN ST",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354434",
"telephone_number": "586-218-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAROSA COUNSELING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "BERNOCK",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-218-0709",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.