Individual provider Active NPI

Melissa Perry Germansky, LLMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1992051833
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094406 Issued in MI
Practice address
21885 Dunham Rd
Ste #1
Clinton TWP, MI 48036-1030
Phone
(586) 770-1431
Fax
(586) 469-6637
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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 6801094406 MI Primary

Addresses

Primary practice location

21885 Dunham Rd
Ste #1
Clinton TWP, MI 48036-1030

Mailing address

21885 Dunham Rd
Ste #1
Clinton TWP, MI 48036-1030
Phone (586) 770-1431

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

LicenseStateTypeSpecialty
6801094406MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1992051833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "STE #1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-770-1431",
            "fax_number": "586-469-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD",
            "address_2": "STE #1",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-770-1431",
            "fax_number": "586-469-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANSKY",
        "first_name": "MELISSA",
        "middle_name": "PERRY",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.