Individual provider Active NPI

Ghida Zein Youssef, LLMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1235843673
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851116473 Issued in MI
Practice address
62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone
(313) 893-6172
Fax
(313) 893-0064
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851116473 MI Primary

Addresses

Primary practice location

62 W 7 Mile Rd
Detroit, MI 48203-1967

Mailing address

62 W 7 Mile Rd
Detroit, MI 48203-1967
Phone (313) 893-6172

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pcerecords.acc@direct.mihin.net Direct

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

State licenses

LicenseStateTypeSpecialty
6851116473MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Empowerment Group, PLLC Social Worker Past Accepting new patients
Southfield Mental Health Associates PC PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1235843673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031967",
            "telephone_number": "313-893-6172",
            "fax_number": "313-893-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031967",
            "telephone_number": "313-893-6172",
            "fax_number": "313-893-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "GHIDA",
        "middle_name": "ZEIN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pcerecords.acc@direct.mihin.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "62 W 7 Mile Rd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482031967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 30, 2024; 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.