Active NPI
Cother Abdo
- Clinical Social Worker
- Beverly Hills, MI
National Provider Identifier
1497190706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 31333 Southfield Rd
Ste 100
Beverly Hills, MI 48025-5412 - Phone
- (248) 566-3111
- NPI assigned
- May 1, 2013
- Last updated
- Sep 29, 2021
- 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 | MI | Primary |
Addresses
Primary practice location
31333 Southfield Rd
Ste 100
Beverly Hills, MI 48025-5412
Mailing address
31333 Southfield Rd
Ste 100
Beverly Hills, MI 48025-5412
Phone (248) 566-3111
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1497190706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31333 SOUTHFIELD RD",
"address_2": "STE 100",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255412",
"telephone_number": "248-566-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31333 SOUTHFIELD RD",
"address_2": "STE 100",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255412",
"telephone_number": "248-566-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDO",
"first_name": "COTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-01",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3434247",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.