Lena Mansour
Individual provider Active NPI Social Worker · Dearborn, MI
NPI 1194200618 · NPPES record last updated Oct 1, 2018
Key facts
- NPI
- 1194200618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 6451 Schaefer Rd
Dearborn, MI 48126-2212 - Phone
- (248) 672-5916
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
6451 Schaefer Rd
Dearborn, MI 48126-2212
Mailing address
6451 Schaefer Rd
Dearborn, MI 48126-2212
Phone (313) 945-3138
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.