Active NPI
Laura Keith, MSW
- Social Worker
- Detroit, MI
National Provider Identifier
1174664098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801058380
- Practice address
- 18609 W 7 Mile Rd
Detroit, MI 48219-2702 - Phone
- (313) 532-8015
- Fax
- (313) 532-2773
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801058380 | MI | Primary |
Addresses
Primary practice location
18609 W 7 Mile Rd
Detroit, MI 48219-2702
Mailing address
31337 Mound Rd
Apt D
Warren, MI 48092-1639
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801058380 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Company LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Detroit, MI
- NPI 1396842381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174664098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31337 MOUND RD",
"address_2": "APT D",
"city": "WARREN",
"state": "MI",
"postal_code": "480921639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18609 W 7 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482192702",
"telephone_number": "313-532-8015",
"fax_number": "313-532-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "LAURA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801058380",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.