Active NPI
Enlighten Social Services, PLLC
- Clinical Social Worker
- Dearborn, MI
National Provider Identifier
1760056154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ENLIGHTEN SOCIAL SERVICES, PLLC
- Practice address
- 3145 Chestnut St
Dearborn, MI 48124-4313 - Phone
- (313) 236-2740
- NPI assigned
- May 19, 2021
- 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
- Bernadette Richardson, LMSW
- Title
- Therapist
- Phone
- (313) 236-2740
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
3145 Chestnut St
Dearborn, MI 48124-4313
Mailing address
3145 Chestnut St
Dearborn, MI 48124-4313
Phone (313) 236-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982955530 | Medicaid | MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1760056154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 CHESTNUT ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244313",
"telephone_number": "313-236-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3145 CHESTNUT ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244313",
"telephone_number": "313-236-2740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENLIGHTEN SOCIAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "313-236-2740",
"authorized_official_credential": "LMSW"
},
"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": "1982955530",
"state": "MI"
}
],
"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 May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.