Active NPI
Derrick King
- Social Worker
- Westland, MI
National Provider Identifier
1205368479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 35300 Nankin Blvd
Ste 601
Westland, MI 48185-7222 - Phone
- (734) 261-1842
- NPI assigned
- Mar 28, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
35300 Nankin Blvd
Ste 601
Westland, MI 48185-7222
Mailing address
162 Woodview CT
Rochester Hills, MI 48307-4111
Phone (248) 929-2563
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1205368479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 WOODVIEW CT",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074111",
"telephone_number": "248-929-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35300 NANKIN BLVD",
"address_2": "STE 601",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857222",
"telephone_number": "734-261-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DERRICK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.