Patrice D Verdun, BS, LBSW, QMHP

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2171 S Linden Rd
Flint, MI 48532-4175

Phone

(810) 339-6394

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Genesee Health Plan

  • Community Health Worker
  • Flint, MI
  • NPI 1346019288
  NPD

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1992144000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324175",
            "telephone_number": "810-339-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324175",
            "telephone_number": "810-339-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485032444",
            "country_code": "US",
            "telephone_number": "810-424-6073",
            "fax_number": "810-496-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDUN",
        "first_name": "PATRICE",
        "middle_name": "D",
        "credential": "BS, LBSW, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802072280",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venkatasiva Peram MD, PC
• Preetham Venkateswaran, MD
• Stephanie Ann Venturini, PA-C
• Chaunjon'a Verdun-Jennings
• Kristin Verdun, LPTA, LMT
• Lisa Verdusco
• John Peter Veremis
• Amy Verhoeven, MS, LPC
• Julie M Verstraete, BCBA
• Lori Kay Vert, LLP

• Community Health Worker in Flint, MI
• Providers in Flint, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.