NPIMap

Organization Active NPI

Robert E. Weiss Advocacy Center for Children and Youth

  • Social Worker
  • Flint, MI
National Provider Identifier
1285102103
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
ROBERT E. WEISS ADVOCACY CENTER FOR CHILDREN AND YOUTH
Practice address
515 East St
Flint, MI 48503-1946
Phone
(810) 238-3333
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Claudnyse D. Holloman, ESQ.
Title
Executive Director
Phone
(810) 238-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

515 East St
Flint, MI 48503-1946

Mailing address

515 East St
Flint, MI 48503-1946
Phone (810) 238-3333

Other identifiers 1

IdentifierTypeStateIssuer
OF37005104MedicaidMI

Other names 1

  • Voices For Children Advocacy Center Doing business as

National Provider Directory

National Provider Directory

Locations

515 East St
Flint, MI 48503
Phone (810) 238-3333

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1285102103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 EAST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031946",
            "telephone_number": "810-238-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 EAST ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031946",
            "telephone_number": "810-238-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. WEISS ADVOCACY CENTER FOR CHILDREN AND YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "CLAUDNYSE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-238-3333",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OF37005104",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Voices For Children Advocacy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.