Active NPI
Detroit Counseling and Wellness Solutions
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1659901783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DETROIT COUNSELING AND WELLNESS SOLUTIONS
- Practice address
- 17250 W 12 Mile Rd Ste 213
Southfield, MI 48076-2123 - Phone
- (313) 985-0243
- Fax
- (313) 985-1053
- NPI assigned
- Jan 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elaina Brown-Mingo, LMSW-C
- Title
- Owner/Clinician
- Phone
- (313) 985-0243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
17250 W 12 Mile Rd Ste 213
Southfield, MI 48076-2123
Mailing address
PO Box 21063
Detroit, MI 48221-0063
Phone (313) 985-0243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508322322 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
17250 W 12 Mile Rd
Ste 213
Southfield, MI 48076
Phone (313) 985-0243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Detroit, MI
- NPI 1508322322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579132800000",
"number": "1659901783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21063",
"city": "DETROIT",
"state": "MI",
"postal_code": "482210063",
"telephone_number": "313-985-0243",
"fax_number": "313-985-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17250 W 12 MILE RD STE 213",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480762123",
"telephone_number": "313-985-0243",
"fax_number": "313-985-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DETROIT COUNSELING AND WELLNESS SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A",
"authorized_official_last_name": "BROWN-MINGO",
"authorized_official_first_name": "ELAINA",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "313-985-0243",
"authorized_official_credential": "LMSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508322322",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.