Organization Active NPI

Elaina Underwood

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1588018121
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELAINA UNDERWOOD
Practice address
22711 Van Dyke Ave
Warren, MI 48089-2357
Phone
(586) 484-2652
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Elaina Underwood
Title
Owner
Phone
(586) 484-2652

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

22711 Van Dyke Ave
Warren, MI 48089-2357

Mailing address

22711 Van Dyke Ave
Warren, MI 48089-2357
Phone (586) 484-2652

Other names 1

  • We Are Family Adult Day Services Doing business as

National Provider Directory

National Provider Directory

Locations

22711 Van Dyke Ave
Warren, MI 48089
Phone (586) 484-2652

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1588018121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22711 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892357",
            "telephone_number": "586-484-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480892357",
            "telephone_number": "586-484-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINA UNDERWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-484-2652"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "We Are Family Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.