Organization Active NPI

Nurturing Our Future

Doing business as Supportive Outreach Services LLC

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1144627027
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NURTURING OUR FUTURE
Doing business as
Supportive Outreach Services LLC
Practice address
25925 Telegraph Rd Ste 103
Southfield, MI 48033-2527
Phone
(313) 405-8064
Fax
(313) 429-7649
NPI assigned
Nov 20, 2014
Last updated
Feb 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
Ms. Tacara L Woods, LMSWNPI 1770071201
Title
Owner/Social Worker
Phone
(313) 308-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6801097458 MI
Clinical Social Worker 1041C0700X NU Primary
Case Manager/Care Coordinator 171M00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

25925 Telegraph Rd Ste 103
Southfield, MI 48033-2527

Mailing address

PO Box 753
Eastpointe, MI 48021-0753
Phone (313) 405-8064

Other practice location 1

23543 Bolam Ave
Warren, MI 48089-2232
Phone (313) 405-8064

Other names 1

  • Supportive Outreach Services LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5555 Conner St
Ste 1207
Detroit, MI 48213

5555 Conner St
Ste 3002
Detroit, MI 48213

25925 Telegraph Rd
Ste 103
Southfield, MI 48033
Phone (313) 405-8064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1144627027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 753",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480210753",
            "telephone_number": "313-405-8064",
            "fax_number": "313-429-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25925 TELEGRAPH RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332527",
            "telephone_number": "313-405-8064",
            "fax_number": "313-429-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23543 Bolam Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480892232",
            "country_code": "US",
            "telephone_number": "313-405-8064",
            "fax_number": "313-429-7649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURTURING OUR FUTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "TACARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "313-308-5510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801097458",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Outreach Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Supportive Outreach Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 13, 2019; 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.