Family Service of Detroit & Wayne County

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAMILY SERVICE OF DETROIT & WAYNE COUNTY

Practice address

19855 W. Outer Drive
Suite 104
Dearborn, MI 48124-2022

Phone

(313) 274-5840

Fax

(313) 274-8277

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Deborah Snyder Sr.

Title

Executive Director

Phone

(313) 579-5989

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1609908508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARSONS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012002",
            "telephone_number": "313-579-5989",
            "fax_number": "313-579-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19855 W. OUTER DRIVE",
            "address_2": "SUITE 104",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242022",
            "telephone_number": "313-274-5840",
            "fax_number": "313-274-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE OF DETROIT & WAYNE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-579-5989",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

• Samantha Faletti, BEHAVIOR TECH
• Illiana Falkenstern, SLP
• Family Dentistry
• Family Medicine Consultants PLLC
• Family Physician Group
• Family Services
• Family Services
• Family Services
• Family Urgent Care PC
• Family Wellness

• Clinical Social Worker in Dearborn, MI
• Providers in Dearborn, 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 Oct 12, 2012; 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.