NPIMap

Organization Active NPI

Henry Ford Health System

Doing business as Maplegrove Center

  • Clinical Social Worker
  • W Bloomfield, MI
National Provider Identifier
1275744203
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085879 Issued in MI
Legal business name
HENRY FORD HEALTH SYSTEM
Doing business as
Maplegrove Center
Practice address
6773 W Maple Rd
W Bloomfield, MI 48322-3013
Phone
(248) 788-3023
NPI assigned
May 24, 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
Ms. Martha Estell Marrell, L.M.S.W.
Title
Behavioral Health Therapist
Phone
(248) 788-3023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801085879 MI Primary

Addresses

Primary practice location

6773 W Maple Rd
W Bloomfield, MI 48322-3013

Mailing address

6773 W Maple Rd
W Bloomfield, MI 48322-3013
Phone (248) 788-3023

Other names 1

  • Maplegrove Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chery Veeck158 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275744203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6773 W MAPLE RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-788-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6773 W MAPLE RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223013",
            "telephone_number": "248-788-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARRELL",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ESTELL",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "248-788-3023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplegrove Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in W Bloomfield, 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.