Active NPI
Nihad Kewson, MD
- Social Worker
- Southfield, MI
National Provider Identifier
1124171301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801061644
- Practice address
- 20300 Civic Center Dr
Suite 318
Southfield, MI 48076-4105 - Phone
- (248) 354-8460
- Fax
- (248) 354-4979
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801061644 | MI | Primary |
Addresses
Primary practice location
20300 Civic Center Dr
Suite 318
Southfield, MI 48076-4105
Mailing address
20300 Civic Center Dr
Suite 318
Southfield, MI 48076-4105
Phone (248) 354-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3434247 | Medicaid | MI |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801061644 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arab American and Chaldean Council | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124171301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20300 CIVIC CENTER DR",
"address_2": "SUITE 318",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764105",
"telephone_number": "248-354-8460",
"fax_number": "248-354-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20300 CIVIC CENTER DR",
"address_2": "SUITE 318",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764105",
"telephone_number": "248-354-8460",
"fax_number": "248-354-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEWSON",
"first_name": "NIHAD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801061644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3434247",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.