Active NPI
Stephen T Haggard, L.M.S.W.
- Clinical Social Worker
- Dearborn, MI
National Provider Identifier
1649487489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801060322
- Practice address
- 330 Town Center Drive
Suite 900
Dearborn, MI 48126 - Phone
- (313) 240-9867
- Fax
- (313) 240-9869
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801060322 | MI | Primary |
Addresses
Primary practice location
330 Town Center Drive
Suite 900
Dearborn, MI 48126
Mailing address
330 Town Center Drive
Suite 900
Dearborn, MI 48126
Phone (313) 240-9867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801060322 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uop LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Dearborn, MI
- NPI 1720345457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1649487489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 TOWN CENTER DRIVE",
"address_2": "SUITE 900",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-240-9867",
"fax_number": "313-240-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 TOWN CENTER DRIVE",
"address_2": "SUITE 900",
"city": "DEARBORN",
"state": "MI",
"postal_code": "48126",
"telephone_number": "313-240-9867",
"fax_number": "313-240-9869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGARD",
"first_name": "STEPHEN",
"middle_name": "T",
"credential": "L.M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801060322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- 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.