Organization Active NPI

Safepointe LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1427678655
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAFEPOINTE LLC
Practice address
240 Nickels Arc
Ann Arbor, MI 48104-2410
Phone
(734) 531-8882
NPI assigned
Apr 17, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Korisma G Grant, LMSWNPI 1689103202
Title
LMSW
Phone
(734) 531-8882

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

240 Nickels Arc
Ann Arbor, MI 48104-2410

Mailing address

41600 N Bellridge Dr Apt B913
Van Buren TWP, MI 48111-4558
Phone (734) 531-8882

National Provider Directory

National Provider Directory

Locations

240 Nickels Arc
Ann Arbor, MI 48104
Phone (248) 974-2475

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1427678655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41600 N BELLRIDGE DR APT B913",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481114558",
            "telephone_number": "734-531-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NICKELS ARC",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042410",
            "telephone_number": "734-531-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEPOINTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "KORISMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "734-531-8882",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.