Active NPI
Imani Ya Kupinga
- Social Worker
- Southfield, MI
National Provider Identifier
1376280818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- IMANI YA KUPINGA
- Practice address
- 27760 Franklin Rd
Southfield, MI 48034-2300 - Phone
- (734) 678-2048
- NPI assigned
- May 17, 2022
- Last updated
- Aug 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle D Flint, LMSW
- Title
- Owner
- Phone
- (734) 678-2048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
27760 Franklin Rd
Southfield, MI 48034-2300
Mailing address
27760 Franklin Rd
Southfield, MI 48034-2300
Phone (734) 678-2048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221219002478 | MI | Part B Supplier - Clinic/Group Practice | 4587033204 | Practice locations: Southfield, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Southfield, MI
- NPI 1104461425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1376280818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27760 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342300",
"telephone_number": "734-678-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27760 FRANKLIN RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342300",
"telephone_number": "734-678-2048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMANI YA KUPINGA",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-17",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "FLINT",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-678-2048",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.