NPIMap

Organization Active NPI

Dynamic Development Center

  • Social Worker
  • Redford, MI
National Provider Identifier
1619161940
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
FS058979 Issued in MI
Legal business name
DYNAMIC DEVELOPMENT CENTER
Practice address
14128 Berwyn
Redford, MI 48239-2907
Phone
(248) 557-3220
Fax
(586) 286-4739
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mrs. Florence Schneble, M.S.W.NPI 1053516682
Title
Social Worker
Phone
(248) 557-3220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X FS058979 MI Primary

Addresses

Primary practice location

14128 Berwyn
Redford, MI 48239-2907

Mailing address

14128 Berwyn
Redford, MI 48239-2907
Phone (248) 557-3220

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1619161940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14128 BERWYN",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392907",
            "telephone_number": "248-557-3220",
            "fax_number": "586-286-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14128 BERWYN",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392907",
            "telephone_number": "248-557-3220",
            "fax_number": "586-286-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SCHNEBLE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "248-557-3220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "FS058979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.