Active NPI
Carla Jeanne Spight-Mackey
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1174740179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801073448
- Practice address
- 736 Lothrop Rd
Detroit, MI 48202-2715 - Phone
- (313) 995-1945
- Fax
- (313) 875-9058
- NPI assigned
- Apr 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801073448 | MI | Primary |
Addresses
Primary practice location
736 Lothrop Rd
Detroit, MI 48202-2715
Mailing address
19318 Ilene St
Detroit, MI 48221-1446
Phone (313) 995-1945
Other names 1
- Carla Jeanne Spight
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Funderburg Clinical and Community Services | Clinical | Past | Accepting new patients |
| The Ma'at Project | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Detroit, MI
- NPI 1467716944
-
- Clinical Social Worker
- Southfield, MI
- NPI 1225254279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1174740179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19318 ILENE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211446",
"telephone_number": "313-995-1945",
"fax_number": "313-875-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 LOTHROP RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022715",
"telephone_number": "313-995-1945",
"fax_number": "313-875-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIGHT-MACKEY",
"first_name": "CARLA",
"middle_name": "JEANNE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801073448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "SPIGHT",
"middle_name": "JEANNE",
"credential": "M.S.W. LMSW",
"code": "1",
"type": "Former Name"
}
]
}
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 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.