Ban Jabro, LBSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802065291 Issued in MI

Practice address

13840 W Warren Ave
Dearborn, MI 48126-1425

Phone

(313) 581-7287

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: pcerecords.acc@direct.mihin.net

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1023165032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13840 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261425",
            "telephone_number": "313-581-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13840 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261425",
            "telephone_number": "313-581-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABRO",
        "first_name": "BAN",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802065291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.acc@direct.mihin.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "62 W 7 Mile Rd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482031967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rawan Ibrahim Jaber
• Sara Jaber
• Sondos Imad Jaber
• Vera Jaber
• Yaser Jaber
• Sundus Hamid Jabro, MD
• Grace Anne Jacek, FNP-BC
• Bailey Jack
• Addonizia Jackson
• Albenay Signora Oneal Jackson

• Clinical Social Worker in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.