Organization Active NPI

Sims Davis Human Services Agency Inc

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1609093111
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087304 Issued in MI
Legal business name
SIMS DAVIS HUMAN SERVICES AGENCY INC
Practice address
14531 Vaughan St
Detroit, MI 48223-2130
Phone
(313) 595-8900
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Valerie Jean Sims, LMSW
Title
President
Phone
(313) 595-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801087304 MI Primary

Addresses

Primary practice location

14531 Vaughan St
Detroit, MI 48223-2130

Mailing address

14951 Glastonbury Ave
Detroit, MI 48223-3603
Phone (313) 595-8900

Other practice location 1

14951 Glastonbury Ave
Detroit, MI 48223-3603
Phone (313) 617-6131

National Provider Directory

National Provider Directory

Locations

24351 Plymouth Rd
Redford, MI 48239
Phone (313) 595-8900

24351 Plymouth Rd
Redford, MI 48239
Phone (313) 595-8900

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1609093111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14951 GLASTONBURY AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233603",
            "telephone_number": "313-595-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14531 VAUGHAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232130",
            "telephone_number": "313-595-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14951 Glastonbury Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482233603",
            "country_code": "US",
            "telephone_number": "313-617-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMS DAVIS HUMAN SERVICES AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-595-8900",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087304",
            "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 Jul 17, 2023; 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.