Self-Care Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094382 Issued in MI

Legal business name

SELF-CARE CENTER

Practice address

640 N Old Woodward Ave
301
Birmingham, MI 48009-3881

Phone

(248) 564-3402

Fax

(248) 792-5464

NPI assigned

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alexis E. Stone, LMSW

Title

Owner/Therapist

Phone

(248) 761-3434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1972972743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N OLD WOODWARD AVE",
            "address_2": "301",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093881",
            "telephone_number": "248-564-3402",
            "fax_number": "248-792-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N OLD WOODWARD AVE",
            "address_2": "301",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093881",
            "telephone_number": "248-564-3402",
            "fax_number": "248-792-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF-CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-761-3434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.