Active NPI
Haneen Shalash, MSW
- Clinical Social Worker
- Ypsilanti, MI
National Provider Identifier
1427226158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 4625 W Pitch Pine LN
3A
Ypsilanti, MI 48197-4992 - Phone
- (313) 581-7287
- Fax
- (313) 581-7318
- NPI assigned
- Feb 15, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4625 W Pitch Pine LN
3A
Ypsilanti, MI 48197-4992
Mailing address
4625 W Pitch Pine LN
3A
Ypsilanti, MI 48197-4992
Phone (313) 581-7287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3434247 | Medicaid | MI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1427226158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 W PITCH PINE LN",
"address_2": "3A",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481974992",
"telephone_number": "313-581-7287",
"fax_number": "313-581-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 W PITCH PINE LN",
"address_2": "3A",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481974992",
"telephone_number": "313-581-7287",
"fax_number": "313-581-7318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALASH",
"first_name": "HANEEN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3434247",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.