Individual provider Active NPI

Shirlann Victoria Krahulec

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1982013504
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
37400 Garfield Rd
Clinton TWP, MI 48036-3648
Phone
(586) 738-6518
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

37400 Garfield Rd
Clinton TWP, MI 48036-3648

Mailing address

43895 Cadburry Dr
Clinton TWP, MI 48038-1442
Phone (586) 713-9316

Other identifiers 2

IdentifierTypeStateIssuer
1982013504MedicaidMI
1982013504OtherMIMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426000696 MI Practitioner - Clinical Social Worker 0941618250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stepping Stones Counseling Center, PLLCGroup PAC ID 4688978604, 13 clinicians

Practice addresses (Care Compare)

37400 Garfield Rd
Suite 130
Clinton Township, MI 48036-3648
Phone (586) 738-6518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Mar 3, 2021 Accepting new patients
Stepping Stones Counseling Center, PLLC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

31205 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 213-1850

37400 Garfield Rd
Ste 130
Clinton Twp, MI 48036
Phone (586) 213-1850

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1982013504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43895 CADBURRY DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381442",
            "telephone_number": "586-713-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37400 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363648",
            "telephone_number": "586-738-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHULEC",
        "first_name": "SHIRLANN",
        "middle_name": "VICTORIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982013504",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI",
            "identifier": "1982013504",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.