Active NPI
Linda Rochelle Yellin
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1992029144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801020168
- Practice address
- 29260 Franklin Rd
Suite 115
Southfield, MI 48034-1161 - Phone
- (248) 363-8687
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801020168 | MI | Primary |
Addresses
Primary practice location
29260 Franklin Rd
Suite 115
Southfield, MI 48034-1161
Mailing address
29260 Franklin Rd
Suite 115
Southfield, MI 48034-1161
Phone (248) 363-8687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801020168 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1992029144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29260 FRANKLIN RD",
"address_2": "SUITE 115",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341161",
"telephone_number": "248-363-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29260 FRANKLIN RD",
"address_2": "SUITE 115",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341161",
"telephone_number": "248-363-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELLIN",
"first_name": "LINDA",
"middle_name": "ROCHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801020168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.