Individual provider Active NPI

Dennis Paul Favor, LLMSW

  • Social Worker
  • Troy, MI
National Provider Identifier
1144046244
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851105117 Issued in MI
Practice address
306 Town Center Dr
Troy, MI 48084-1742
Phone
(248) 649-8050
Fax
(586) 275-2060
NPI assigned
Nov 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851105117 MI Primary

Addresses

Primary practice location

306 Town Center Dr
Troy, MI 48084-1742

Mailing address

306 Town Center Dr
Troy, MI 48084-1742
Phone (248) 649-8050

Other practice location 1

911 Tyndall Dr
Canton, MI 48187-3828
Phone (313) 820-7001

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

LicenseStateTypeSpecialty
6851105117MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1144046244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 TOWN CENTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841742",
            "telephone_number": "248-649-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 TOWN CENTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841742",
            "telephone_number": "248-649-8050",
            "fax_number": "586-275-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Tyndall Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873828",
            "country_code": "US",
            "telephone_number": "313-820-7001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVOR",
        "first_name": "DENNIS",
        "middle_name": "PAUL",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851105117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.