Yvonne Fannie West, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801046708 Issued in MI

Practice address

19321 W Chicago St
Detroit, MI 48228-1739

Phone

(877) 267-3791

NPI assigned

Sep 22, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Educating U4 Life CDC

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1336674415
  NPD (past)

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1750890687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20253 BENTLER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191326",
            "telephone_number": "313-522-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19321 W CHICAGO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281739",
            "telephone_number": "877-267-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "YVONNE",
        "middle_name": "FANNIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336674415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikama West, LMSW
• Phaedra West, BSN
• Phillip Charles West, ADDICTION COUNSELOR
• Rachel Kantor West, NONE
• Ronald L West
• Jackie Western, RN
• Mary Carmel Frances Solinap Westlake
• Jessica Westrick
• Westside Discount Pharmacy
• Westside Pharmacy of Detroit Inc

• 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 Sep 22, 2017; 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.