Edward F Mischel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801015691 Issued in MI

Practice address

3901 Chrysler Dr Tolan Park
Detroit, MI 48201-3096

Phone

(313) 993-3964

Fax

(313) 993-3974

NPI assigned

Aug 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University Physician Group

  • Counselor
  • Detroit, MI
  • NPI 1447465661

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548453863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "address_2": "STE 2000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "800-972-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CHRYSLER DR TOLAN PARK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013096",
            "telephone_number": "313-993-3964",
            "fax_number": "313-993-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3011 W Grand Blvd",
            "address_2": "Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023096",
            "country_code": "US",
            "telephone_number": "800-972-4283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35425 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481843096",
            "country_code": "US",
            "telephone_number": "734-467-7600",
            "fax_number": "734-467-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCHEL",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801015691",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bakhtiar Mirza, M.D.
• Tuba Sohail Mirza, DO
• Yousha Kamal Mirza, MD
• Zainab Aslam Mirza, MD
• Nishat Mirzza
• Nicholas Mischel, MD
• Ashish Mishra, M.D.
• Poonam Mishra, M.D
• Rana Tawil Misiak, MD
• Miside (Southwest Solutions)

• 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 Mar 17, 2018; 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.