Individual provider Active NPI

Lela Y Terrell-Peoples

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1033586474
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4646 John R St
Detroit, MI 48201-1916
Phone
(313) 576-1000
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801117451 MI
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

1011 Woodside Trail Dr
Troy, MI 48085-1320
Phone (313) 729-0980

Other practice location 1

302 S Main St Ste 202
Royal Oak, MI 48067-2657
Phone (947) 217-2743

Other practice location 2

15000 Gratiot Ave
Detroit, MI 48205-1973
Phone (313) 245-0600

Other practice location 3

35425 W Michigan Ave Ste 1
Wayne, MI 48184-1600
Phone (734) 467-7600

Other practice location 4

17321 Telegraph Rd
Detroit, MI 48219-3132
Phone (313) 255-0900

Other names 1

  • Lela Y Terrell Former name

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
6801117451MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1033586474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 WOODSIDE TRAIL DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851320",
            "telephone_number": "313-729-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 S Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480672657",
            "country_code": "US",
            "telephone_number": "947-217-2743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15000 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482051973",
            "country_code": "US",
            "telephone_number": "313-245-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35425 W Michigan Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841600",
            "country_code": "US",
            "telephone_number": "734-467-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17321 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482193132",
            "country_code": "US",
            "telephone_number": "313-255-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL-PEOPLES",
        "first_name": "LELA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801117451",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LELA",
            "last_name": "TERRELL",
            "middle_name": "Y",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.