Active NPI
Raquel Thomas-Ankom, LLBSW
- Other Technician
- Westland, MI
National Provider Identifier
1316342223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 32707 Fairchild St
Westland, MI 48186-4911 - Phone
- (313) 575-4539
- NPI assigned
- Nov 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6802088374 | MI | |
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
32707 Fairchild St
Westland, MI 48186-4911
Mailing address
32707 Fairchild St
Westland, MI 48186-4911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802088374 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464307200000",
"number": "1316342223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32707 FAIRCHILD ST",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481864911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32707 FAIRCHILD ST",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481864911",
"telephone_number": "313-575-4539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-ANKOM",
"first_name": "RAQUEL",
"credential": "LLBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2016-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6802088374",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.