Active NPI
Mindful Consulting
- Clinical Social Worker
- Hazel Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDFUL CONSULTING
- Practice address
- 23745 Carlisle Ave
Hazel Park, MI 48030-1428 - Phone
- (248) 565-6370
- NPI assigned
- Apr 14, 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
- Nina Rene Phillips, LMSW
- Title
- Owner/Clinical Social Worker
- Phone
- (248) 565-6370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
23745 Carlisle Ave
Hazel Park, MI 48030-1428
Mailing address
23745 Carlisle Ave
Hazel Park, MI 48030-1428
Phone (248) 565-6370
National Provider Directory
National Provider DirectoryLocations
42 W Warren Ave
Detroit, MI 48201
Phone (313) 577-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Detroit, MI
- NPI 1780095620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693353600000",
"number": "1982390662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23745 CARLISLE AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301428",
"telephone_number": "248-565-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23745 CARLISLE AVE",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301428",
"telephone_number": "248-565-6370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "NINA",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "248-565-6370",
"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 Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.