Individual provider Active NPI

Darcel Sherie Lawrence, DHA, LMSW, MBA

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1053908707
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070145 Issued in MI
Practice address
100 River Place Dr Ste 200
Detroit, MI 48207-5403
Phone
(313) 871-2337
Fax
(313) 871-6656
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801070145 MI Primary

Addresses

Primary practice location

100 River Place Dr Ste 200
Detroit, MI 48207-5403

Mailing address

100 River Place Dr Ste 200
Detroit, MI 48207-5403
Phone (313) 871-2337

Other practice location 1

23132 Thorncliffe St
Southfield, MI 48033-6556
Phone (313) 999-0065

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://w3.pcesecure.com/cgi-bin/WebObjects/WCRAdmin.woa/3/wo/qAtmDUVQzx6sKIQVmgMG4g/13.51ee94e3 Direct

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
6801070145MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1053908707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER PLACE DR STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075403",
            "telephone_number": "313-871-2337",
            "fax_number": "313-871-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER PLACE DR STE 200",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075403",
            "telephone_number": "313-871-2337",
            "fax_number": "313-871-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23132 Thorncliffe St",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480336556",
            "country_code": "US",
            "telephone_number": "313-999-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DARCEL",
        "middle_name": "SHERIE",
        "name_prefix": "Dr.",
        "credential": "DHA, LMSW, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://w3.pcesecure.com/cgi-bin/WebObjects/WCRAdmin.woa/3/wo/qAtmDUVQzx6sKIQVmgMG4g/13.51ee94e3",
            "affiliation": "N",
            "endpointDescription": "EHR messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 River Place Dr Ste 200",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482075403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Dec 29, 2020; 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.