NPIMap

Organization Active NPI

Lucious Conway Social Security Disability Advocates

  • Peer Specialist
  • Detroit, MI
National Provider Identifier
1366278921
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
LUCIOUS CONWAY SOCIAL SECURITY DISABILITY ADVOCATES
Practice address
7418 Puritan St Apt 103
Detroit, MI 48238-1200
Phone
(347) 454-4492
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Lucious ConwayNPI 1659718625
Title
President Ceo
Phone
(347) 454-4492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

7418 Puritan St Apt 103
Detroit, MI 48238-1200

Mailing address

7418 Puritan St Apt 103
Detroit, MI 48238-1200
Phone (347) 454-4492

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1366278921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 PURITAN ST APT 103",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381200",
            "telephone_number": "347-454-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 PURITAN ST APT 103",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381200",
            "telephone_number": "347-454-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIOUS CONWAY SOCIAL SECURITY DISABILITY ADVOCATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "LUCIOUS",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "347-454-4492"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "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 Sep 10, 2024; 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.