Individual provider Active NPI

Robin Annette Johnson-Henderson, BSW

  • Social Worker
  • Detroit, MI
National Provider Identifier
1578714903
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802086095 Issued in MI
Practice address
13340 E Warren Ave
Detroit, MI 48215-2112
Phone
(313) 822-6940
Fax
(313) 822-0176
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802086095 MI Primary

Addresses

Primary practice location

13340 E Warren Ave
Detroit, MI 48215-2112

Mailing address

18900 Goulburn St
Detroit, MI 48205-2145
Phone (313) 526-2420

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

LicenseStateTypeSpecialty
6802086095MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Images Past Accepting new patients
Positive Images Past Accepting new patients

Organizations & group practices 2

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": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1578714903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18900 GOULBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482052145",
            "telephone_number": "313-526-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152112",
            "telephone_number": "313-822-6940",
            "fax_number": "313-822-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-HENDERSON",
        "first_name": "ROBIN",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802086095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.