Family Service of Detroit & Wayne County

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAMILY SERVICE OF DETROIT & WAYNE COUNTY

Practice address

13560 E McNichols Rd
122
Detroit, MI 48205-3426

Phone

(313) 274-5840

Fax

(313) 274-8277

NPI assigned

Mar 2, 2011

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Snyder

Title

Executive Director

Phone

(313) 579-5989

Specialties & licenses 5

Addresses

Locations

Practitioners 7

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.

• Fredrick Louis Burnette

  • Case Manager/Care Coordinator
  • Detroit, MI
  • NPI 1457542672
  NPD (past)
• Valery Stella Collins, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1376697243
  NPD (past)
• James Robert Ebaugh, L.M.S.W.

  • Social Worker
  • Detroit, MI
  • NPI 1487706172
  NPD (past)
• Angela Ellison

  • Case Manager/Care Coordinator
  • Detroit, MI
  • NPI 1497948392
  NPD (past)
• Janet Maria Evans-Covington

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1336357052
  NPD (past)
• Carl Michael Herrell, MSW

  • Social Worker
  • Detroit, MI
  • NPI 1710025408

  Counselor

  NPD (past)
• Simon Kwame Mensah, MSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1386702850
  NPD (past)

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1235437047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARSONS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012002",
            "telephone_number": "313-579-5989",
            "fax_number": "313-579-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13560 E MCNICHOLS RD",
            "address_2": "122",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482053426",
            "telephone_number": "313-274-5840",
            "fax_number": "313-274-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE OF DETROIT & WAYNE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-579-5989"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Service Inc (Family Service of Detroit and Wayne County)
• Family Service Inc
• Family Service Inc
• Family Service Inc.
• Family Service of Detroit & Wayne County
• Family Service of Detroit & Wayne County
• Family Service of Detroit and Wayne County
• Family Tyes Inc
• Family's R US
• Rachel Fan

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.