Active NPI
Dominique Adams, LLMSW
- Social Worker
- Canton, MI
National Provider Identifier
1346638244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 680109699
- Practice address
- 41069 Crossbow Cir
Apt 202
Canton, MI 48188-3149 - Phone
- (586) 365-3916
- NPI assigned
- Dec 30, 2014
- Last updated
- Oct 16, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 680109699 | MI | Primary |
Addresses
Primary practice location
41069 Crossbow Cir
Apt 202
Canton, MI 48188-3149
Mailing address
41069 Crossbow Cir
Apt 202
Canton, MI 48188-3149
Phone (586) 365-3916
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 |
|---|---|---|---|
| 680109699 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476576000000",
"number": "1346638244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41069 CROSSBOW CIR",
"address_2": "APT 202",
"city": "CANTON",
"state": "MI",
"postal_code": "481883149",
"telephone_number": "586-365-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41069 CROSSBOW CIR",
"address_2": "APT 202",
"city": "CANTON",
"state": "MI",
"postal_code": "481883149",
"telephone_number": "586-365-3916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "DOMINIQUE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2016-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "680109699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.