Active NPI
Victoria Denise Cheatham, LLMSW
- Clinical Social Worker
- Southgate, MI
National Provider Identifier
1003161076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801101207
- Practice address
- 13305 Reeck CT
Southgate, MI 48195-3197 - Phone
- (734) 225-2090
- NPI assigned
- Jul 17, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MI | ||
| Community Health Worker | 172V00000X | 6802087049 | MI | |
| Clinical Social Worker | 1041C0700X | 6801101207 | MI | Primary |
Addresses
Primary practice location
13305 Reeck CT
Southgate, MI 48195-3197
Mailing address
6545 Highview St
Dearborn Heights, MI 48127-2126
Phone (313) 645-2462
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 |
|---|---|---|---|
| 6801101207 | MI | MD | Clinical Social Worker |
| 6802087049 | MI | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ismail B. Sendi, MD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton Township, MI
- NPI 1932370988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1003161076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6545 HIGHVIEW ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272126",
"telephone_number": "313-645-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13305 REECK CT",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953197",
"telephone_number": "734-225-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "VICTORIA",
"middle_name": "DENISE",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "6802087049",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801101207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.