NPIMap

Organization Active NPI

Intervention Network Inc.

  • Clinical Social Worker
  • Westland, MI
National Provider Identifier
1205979234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTERVENTION NETWORK INC.
Practice address
8410 Flamingo St
Westland, MI 48185-1762
Phone
(734) 422-2606
Fax
(734) 422-2608
NPI assigned
Feb 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Louise Stephanie Dery, L.M.S.W.NPI 1669538211
Title
Administrator
Phone
(734) 422-2606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

8410 Flamingo St
Westland, MI 48185-1762

Mailing address

PO Box 871004
Canton, MI 48187-6004
Phone (734) 422-2606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205979234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871004",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876004",
            "telephone_number": "734-422-2606",
            "fax_number": "724-422-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 FLAMINGO ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481851762",
            "telephone_number": "734-422-2606",
            "fax_number": "734-422-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERY",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-422-2606",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "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 Aug 22, 2020; 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.