NPIMap

Organization Active NPI

Friends of Detroit & Tri Counties

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1154578367
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FRIENDS OF DETROIT & TRI COUNTIES
Practice address
8230 E Forest Ave
Detroit, MI 48214-1156
Phone
(313) 924-0085
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Michael Wimberly
Title
Executive Director
Phone
(313) 924-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8230 E Forest Ave
Detroit, MI 48214-1156

Mailing address

8230 E Forest Ave
Detroit, MI 48214-1156

National Provider Directory

National Provider Directory

Locations

8230 E Forest Ave
Detroit, MI 48214
Phone (313) 924-0085

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1154578367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 E FOREST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 E FOREST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482141156",
            "telephone_number": "313-924-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF DETROIT & TRI COUNTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-924-0085"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 20, 2008; 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.