Organization Active NPI

Caldwell-Thompson Manor

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1639386907
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058450 Issued in MI
Legal business name
CALDWELL-THOMPSON MANOR
Practice address
618 Harmon St
Detroit, MI 48202-1332
Phone
(313) 924-9485
Fax
(313) 924-9494
NPI assigned
May 17, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Louisa Thompson, LMSW
Title
Ceo
Phone
(586) 757-2357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801058450 MI Primary

Addresses

Primary practice location

618 Harmon St
Detroit, MI 48202-1332

Mailing address

618 Harmon St
Detroit, MI 48202-1332
Phone (313) 924-9485

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1639386907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 HARMON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021332",
            "telephone_number": "313-924-9485",
            "fax_number": "313-924-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 HARMON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021332",
            "telephone_number": "313-924-9485",
            "fax_number": "313-924-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL-THOMPSON MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-757-2357",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058450",
            "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 26, 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.