NPIMap

Organization Active NPI

Caldwell Thompson Manor International

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1235363698
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801061937 Issued in MI
Legal business name
CALDWELL THOMPSON MANOR INTERNATIONAL
Practice address
8537 Van Dyke St
Detroit, MI 48213-2374
Phone
(313) 924-9478
Fax
(313) 924-9494
NPI assigned
May 13, 2009
Last updated
May 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Ms. Patricia Gibbs, LMSW, ACSWNPI 1225253461
Title
Manager
Phone
(313) 924-9478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801061937 MI Primary

Addresses

Primary practice location

8537 Van Dyke St
Detroit, MI 48213-2374

Mailing address

23636 Cunningham Ave
Warren, MI 48091-3181
Phone (313) 924-9478

Other identifiers 2

IdentifierTypeStateIssuer
1225253461OtherMINPI
8008950700OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1235363698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23636 CUNNINGHAM AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913181",
            "telephone_number": "313-924-9478",
            "fax_number": "313-924-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 VAN DYKE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132374",
            "telephone_number": "313-924-9478",
            "fax_number": "313-924-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL THOMPSON MANOR INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-924-9478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801061937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225253461",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8008950700",
            "state": null
        }
    ],
    "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 May 13, 2009; 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.