Quiet Avenue LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

QUIET AVENUE LLC

Practice address

5555 Conner St Ste 3096
Detroit, MI 48213-3817

Phone

(313) 992-9002

Fax

(313) 532-3615

NPI assigned

Nov 3, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Johnson, LCSW, CAADCNPI 1306969381

Title

Owner

Phone

(313) 992-9002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Johnson, LCSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1306969381
  NPD Authorized official

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572739200000",
    "number": "1508400573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16835 WESTMORELAND RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194028",
            "telephone_number": "313-532-3615",
            "fax_number": "313-532-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 CONNER ST STE 3096",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133817",
            "telephone_number": "313-992-9002",
            "fax_number": "313-532-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIET AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-992-9002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Helen Quigg, M.D.
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• Angela Lena Quinn, NONE
• Caprice Ellene Quinn
• Heather Lee Quinn, OTRL

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.