NPIMap

Organization Active NPI

National Council on Alcoholism & Drug Dependence Greater Detroit

  • Addiction (Substance Use Disorder) Counselor
  • Detroit, MI
National Provider Identifier
1154477859
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE GREATER DETROIT
Practice address
16647 Wyoming
Detroit, MI 48221
Phone
(313) 342-3606
Fax
(313) 861-0413
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Ms. Linda Woodward, LMSW ASCW
Title
Clinical Director
Phone
(313) 342-3606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X SA0821863 MI

Addresses

Primary practice location

16647 Wyoming
Detroit, MI 48221

Mailing address

16647 Wyoming
Detroit, MI 48221
Phone (313) 342-3606

Other identifiers 1

IdentifierTypeStateIssuer
199150MedicaidMI

National Provider Directory

National Provider Directory

Locations

16647 Wyoming St
Detroit, MI 48221
Phone (313) 341-9891

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1154477859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16647 WYOMING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-342-3606",
            "fax_number": "313-861-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16647 WYOMING",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48221",
            "telephone_number": "313-342-3606",
            "fax_number": "313-861-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COUNCIL ON ALCOHOLISM & DRUG DEPENDENCE GREATER DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "313-342-3606",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW ASCW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SA0821863",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199150",
            "state": "MI"
        }
    ],
    "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 Dec 19, 2017; 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.