Active NPI
Billy Joe Guthrie, MASTER OF SOCIAL WOR
- Social Worker
- Wayne, MI
National Provider Identifier
1124038252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801012527
- Practice address
- 33101 Annapolis
Wayne, MI 48186 - Phone
- (734) 721-0200
- Fax
- (734) 721-2008
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801012527 | MI | Primary |
Addresses
Primary practice location
33101 Annapolis
Wayne, MI 48186
Mailing address
1685 Cliffs LND
#101B
Ypsilanti, MI 48198
Phone (734) 483-8774
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801012527 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124038252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1685 CLIFFS LND",
"address_2": "#101B",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48198",
"telephone_number": "734-483-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33101 ANNAPOLIS",
"city": "WAYNE",
"state": "MI",
"postal_code": "48186",
"telephone_number": "734-721-0200",
"fax_number": "734-721-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "BILLY",
"middle_name": "JOE",
"credential": "MASTER OF SOCIAL WOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801012527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.