Ilham Muthanna, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

685112880 Issued in MI

Practice address

26184 West Outer Dr.
Lincoln Park, MI 48146

Phone

(313) 389-7500

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1356901086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 SAINT LAWRENCE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102110",
            "telephone_number": "313-772-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26184 WEST OUTER DR.",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "48146",
            "telephone_number": "313-389-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHANNA",
        "first_name": "ILHAM",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "685112880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assia Mouabbi, DDS
• Sanjoy Mukerjee, M.D.
• Natalie Munoz Arellano, DOULA
• Jennifer Murri, DDS
• Borhan Muthana, RPH
• Je'Mille Newby
• Emily Niemi
• North Hauling LLC
• Nusrat Rahman MD PC
• Oakman Medical Clinic PLLC

• Clinical Social Worker in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.