Active NPI
Saniqua Mona Eubanks, FAODP
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1295992519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 514 Alger St
Detroit, MI 48202-2106 - Phone
- (313) 871-9940
- Fax
- (313) 875-9648
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MI | Primary |
Addresses
Primary practice location
514 Alger St
Detroit, MI 48202-2106
Mailing address
514 Alger St
Detroit, MI 48202-2106
Phone (313) 871-9940
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture Treatment Concepts 11 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Detroit, MI
- NPI 1417149881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1295992519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 ALGER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022106",
"telephone_number": "313-871-9940",
"fax_number": "313-875-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 ALGER ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022106",
"telephone_number": "313-871-9940",
"fax_number": "313-875-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUBANKS",
"first_name": "SANIQUA",
"middle_name": "MONA",
"name_prefix": "Miss",
"credential": "FAODP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.