Active NPI
Cukeyra Blackshear, LLMSW
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1144643206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801098620
- Practice address
- 1131 W Canfield St
Detroit, MI 48201-1105 - Phone
- (313) 258-5415
- NPI assigned
- Jan 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 6802087949 | MI | |
| Clinical Social Worker | 1041C0700X | 6801098620 | MI | Primary |
Addresses
Primary practice location
1131 W Canfield St
Detroit, MI 48201-1105
Mailing address
1131 W Canfield St
Detroit, MI 48201-1105
Phone (313) 258-5415
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 |
|---|---|---|---|
| 6801098620 | MI | MD | Clinical Social Worker |
| 6802087949 | MI | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1144643206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 W CANFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011105",
"telephone_number": "313-258-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W CANFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011105",
"telephone_number": "313-258-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSHEAR",
"first_name": "CUKEYRA",
"name_prefix": "Ms.",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "6802087949",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801098620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.