Active NPI
Rajah Ismail, LLMSW
- Clinical Social Worker
- Dearborn, MI
National Provider Identifier
1003275819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801114053
- Practice address
- 6450 Maple St
Dearborn, MI 48126-2259 - Phone
- (313) 216-2200
- Fax
- (313) 584-3622
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| School Social Worker | 1041S0200X | 6801114053 | MI | |
| School Social Worker | 1041S0200X | 6851104857 | MI | |
| Clinical Social Worker | 1041C0700X | 6801114053 | MI | Primary |
Addresses
Primary practice location
6450 Maple St
Dearborn, MI 48126-2259
Mailing address
2651 Saulino CT
Dearborn, MI 48120-1556
Phone (313) 842-7010
Other practice location 1
6451 Schaefer Rd
Dearborn, MI 48126-2212
Phone (313) 945-8138 ext. 293
Other practice location 2
4301 E 14 Mile Rd
Sterling Heights, MI 48310-6411
Phone (586) 788-6235
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801114053 | MI | MD | School Social Worker |
| 6851104857 | MI | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Ipa | 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.
-
- Family Medicine Physician
- Dearborn, MI
- NPI 1760682371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1003275819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2651 SAULINO CT",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201556",
"telephone_number": "313-842-7010",
"fax_number": "313-842-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 MAPLE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262259",
"telephone_number": "313-216-2200",
"fax_number": "313-584-3622"
}
],
"practiceLocations": [
{
"address_1": "6451 Schaefer Rd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481262212",
"country_code": "US",
"telephone_number": "313-945-8138 x293",
"fax_number": "313-624-9418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 E 14 Mile Rd",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483106411",
"country_code": "US",
"telephone_number": "586-788-6235",
"fax_number": "586-788-6255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISMAIL",
"first_name": "RAJAH",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801114053",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6851104857",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801114053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.