Individual provider Active NPI

Dominique Ware, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1255857264
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101190 Issued in MI
Practice address
24445 Northwestern Hwy Ste 220
Southfield, MI 48075-2437
Phone
(248) 242-5545
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 6801101190 MI Primary

Addresses

Primary practice location

24445 Northwestern Hwy Ste 220
Southfield, MI 48075-2437

Mailing address

15900 W 10 Mile Rd Ste 211
Southfield, MI 48075-2079

Other practice location 1

15900 W 10 Mile Rd Ste 211
Southfield, MI 48075-2079
Phone (248) 291-7424

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
6801101190MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Introspective Counseling, LLC CurrentSince Aug 17, 2025 Accepting new patients
Healthy Therapy and Wellness Center Current Accepting new patients

Locations

24445 Northwestern Hwy
Ste 220
Southfield, MI 48075
Phone (248) 242-5545

15900 W 10 Mile Rd
Ste 211
Southfield, MI 48075
Phone (248) 480-8232

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1255857264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 10 MILE RD STE 211",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24445 NORTHWESTERN HWY STE 220",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752437",
            "telephone_number": "248-242-5545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 W 10 Mile Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752079",
            "country_code": "US",
            "telephone_number": "248-291-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE",
        "first_name": "DOMINIQUE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.