JANETTE SHALLAL (LMSW) – Clinical Social Worker, NPI 1801955802

JANETTE SHALLAL (LMSW) is a healthcare provider. based in Waterford, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801008739 (MI). The NPI Number for JANETTE SHALLAL (LMSW) is 1801955802

Main info

Female
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
JANETTE SHALLAL (LMSW)
NPI
1801955802
Phone
(734) 453-5603
Address
5049 ELIZABETH LAKE RD
Enumeration Date
6 December 2006
Last Update Date
29 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486743382
Graduation Year
1976 (50 years ago)
PAC ID
0749295186
Professional Enrollment ID
I20101130001340
Address ID
MI483281142WA4950XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for JANETTE SHALLAL (LMSW)

  • 5049, Elizabeth Lake Road, Crescent Lake Highlands, Waterford Township, Oakland County, Michigan, 48327, United States

    WATERFORD, MI 483272741

    Phone: (734) 453-5603

    Fax: (734) 453-5619

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101130001340IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48327)

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Reviews

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Frequently asked questions

How do payers reference JANETTE SHALLAL (LMSW)?
For JANETTE SHALLAL (LMSW), use NPI 1801955802 as the unique 10-digit identifier.
Is JANETTE SHALLAL (LMSW) still an active registrant?
JANETTE SHALLAL (LMSW) carries an active NPI according to the public dataset.
What expertise is attributed to JANETTE SHALLAL (LMSW)?
JANETTE SHALLAL (LMSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Michigan is JANETTE SHALLAL (LMSW) registered?
Use Waterford, Michigan as the headline location for JANETTE SHALLAL (LMSW) here.
Can I trust this NPI listing for JANETTE SHALLAL (LMSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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