Encouraging Youth Excellence, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080254 Issued in MI

Legal business name

ENCOURAGING YOUTH EXCELLENCE, LLC

Practice address

1010 Antietam Ave
Detroit, MI 48207-2832

Phone

(313) 923-6762

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Rita R Clark, LMSENPI 1427479229

Title

Ceo

Phone

(313) 923-6762

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita R. Clark, LMSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1427479229
  NPD (past) Authorized official

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1740687797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2133",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482020133",
            "telephone_number": "313-923-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ANTIETAM AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072832",
            "telephone_number": "313-923-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCOURAGING YOUTH EXCELLENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-923-6762",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSE"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Agnes Emrich, APRN,BC,N.P
• Tanya Emrick
• Robert N. Enberg, M.D.
• Rodel Encabo, RN
• Encouragement for Change
• Mario Endiakov, DMD
• Endless Love Home Care LLC
• Endue Adult Day Program
• Engagement Therapy & Day Spa LLC
• Pedro Alejandro Engel Gonzalez, 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 Nov 19, 2014; 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.