Active NPI
Nurturing Our Future
Doing business as Supportive Outreach Services LLC
- Clinical Social Worker
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tacara L Woods, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Warren, MI
- NPI 1770071201
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.