Farrah Badri Dababneh, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087488 Issued in MI

Practice address

17321 Telegraph Rd
Detroit, MI 48219-3132

Phone

(313) 531-2500

Fax

(313) 255-3471

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Farrah Badri Jamil Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629122965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27895 BERRYWOOD LN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344058",
            "telephone_number": "313-531-2500",
            "fax_number": "313-255-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17321 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193132",
            "telephone_number": "313-531-2500",
            "fax_number": "313-255-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABABNEH",
        "first_name": "FARRAH",
        "middle_name": "BADRI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARRAH",
            "last_name": "JAMIL",
            "middle_name": "BADRI",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• D2 Dental of Michigan, P.C. (Destiny Dental)
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• David Da Costa, M.D.
• Ashley Christine Da Pra, M.D.
• Ashley Nichole Dababneh, DO
• Lawrence S Dababneh, LLMSW
• Yara Jiries Dababneh, MD
• Ali A Dabaja, M.D
• Sekna Tarek Dabaja, DDS, MS
• Mayada Dabajeh, MD

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Jul 8, 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.