Individual provider Active NPI

Rajah Ismail, LLMSW

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1003275819
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114053 Issued in MI
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

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6801114053MIMDSchool Social Worker
6851104857MIMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ipa PastSince May 4, 2015 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.

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.

Verify at the official NPI Registry.