Raja Kamal Altaee

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851117060 Issued in MI

Practice address

1605 Fort St
Lincoln Park, MI 48146-1915

Phone

(313) 382-7861

NPI assigned

Oct 2, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1750161246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 KENILWORTH ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262154",
            "telephone_number": "313-452-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461915",
            "telephone_number": "313-382-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAEE",
        "first_name": "RAJA",
        "middle_name": "KAMAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saja A Alkhafaji
• Shmous Allahmud
• Allied Home Care Services, Inc.
• Sarah Alnaimi, DDS
• Malath Salah Alrobaye, PHARMD
• Luisa Sofia Amaya
• America'S Best Contacts and Eyeglasses
• American Home Health Care LLC
• American Indian Services, Inc.
• American Rehab Solutions, LLC

• Clinical Social Worker in Lincoln Park, MI
• Providers in Lincoln Park, 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 Oct 2, 2023; 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.