NPIMap

Organization Active NPI

Cass Community Social Services, Inc.

  • Professional Counselor
  • Detroit, MI
National Provider Identifier
1083331250
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CASS COMMUNITY SOCIAL SERVICES, INC.
Practice address
Cass Community Social Services, Inc.
11745 Rosa Parks Blvd.
Detroit, MI 48206
Phone
(313) 883-2277
Fax
(313) 305-4017
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Faith E Fowler, MPA, M.DIV.
Title
Executive Director
Phone
(313) 883-2277

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

Cass Community Social Services, Inc.
11745 Rosa Parks Blvd.
Detroit, MI 48206

Mailing address

Cass Community Social Services, Inc.
11745 Rosa Parks Blvd.
Detroit, MI 48206
Phone (313) 883-2277

National Provider Directory

National Provider Directory
Tax ID family
Cass Community Social Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11745 Rosa Parks Blvd
Detroit, MI 48206
Phone (313) 883-2277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1083331250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CASS COMMUNITY SOCIAL SERVICES, INC.",
            "address_2": "11745 ROSA PARKS BLVD.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48206",
            "telephone_number": "313-883-2277",
            "fax_number": "313-305-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASS COMMUNITY SOCIAL SERVICES, INC.",
            "address_2": "11745 ROSA PARKS BLVD.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48206",
            "telephone_number": "313-883-2277",
            "fax_number": "313-305-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS COMMUNITY SOCIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-883-2277",
        "authorized_official_credential": "MPA, M.DIV."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 27, 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.