Extended Handz LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EXTENDED HANDZ LLC

Practice address

700 Clinton River Dr
Mount Clemens, MI 48043-2460

Phone

(586) 222-1351

NPI assigned

Apr 21, 2015

Last updated

Apr 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa M Brown

Title

Director

Phone

(586) 222-1351

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1598152241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CLINTON RIVER DR",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432460",
            "telephone_number": "586-222-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CLINTON RIVER DR",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432460",
            "telephone_number": "586-222-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED HANDZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-222-1351",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Ali Esa, DPM
• Jose Luis C. Escudero, PT
• Ian Albert Etheart, DO
• Valerie Ettinger, RN
• Kilolo Bibi Everson, LLMSW
• Steven Richard Fair, LMSW
• Dominic Carl Fano, D.O.
• Robert Guy Farrell Jr., O.D.
• Osama M Fashho
• Maha Asar Fasihi

• Clinical Social Worker in Mount Clemens, MI
• Providers in Mount Clemens, 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 Apr 21, 2015; 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.