Active NPI
Fekrah Adel Alsoufi
- Clinical Social Worker
- Dearborn, MI
National Provider Identifier
1497347181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851115236
- Practice address
- 6451 Schaefer Rd
Dearborn, MI 48126-2212 - Phone
- (313) 945-8167
- NPI assigned
- Feb 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 6851115236 | MI | Primary |
Addresses
Primary practice location
6451 Schaefer Rd
Dearborn, MI 48126-2212
Mailing address
8736 Kirkwood St
Detroit, MI 48210-1893
Phone (313) 502-1838
Other practice location 1
9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500
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 |
|---|---|---|---|
| 6851115236 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1497347181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8736 KIRKWOOD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482101893",
"telephone_number": "313-502-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6451 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262212",
"telephone_number": "313-945-8167"
}
],
"practiceLocations": [
{
"address_1": "9315 Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Redford",
"state": "MI",
"postal_code": "482391260",
"country_code": "US",
"telephone_number": "313-450-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSOUFI",
"first_name": "FEKRAH",
"middle_name": "ADEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-04",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851115236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.