Active NPI
Dajanae Charice Washington, LLMSW
- Clinical Social Worker
- Ferndale, MI
National Provider Identifier
1497330534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801109146
- Practice address
- 703 Livernois St
Ferndale, MI 48220-2306 - Phone
- (248) 955-3219
- NPI assigned
- Mar 10, 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 | 6801109146 | MI | Primary |
Addresses
Primary practice location
703 Livernois St
Ferndale, MI 48220-2306
Mailing address
703 Livernois St
Ferndale, MI 48220-2306
Phone (248) 955-3219
Other names 1
- Ms. Dajanae Charice Gaston
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801109146 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natures Playhouse Ferndale LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1497330534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 LIVERNOIS ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202306",
"telephone_number": "248-955-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 LIVERNOIS ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482202306",
"telephone_number": "248-955-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "DAJANAE",
"middle_name": "CHARICE",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-10",
"last_updated": "2021-03-10",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801109146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAJANAE",
"last_name": "GASTON",
"middle_name": "CHARICE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.