Active NPI
Christina Fluker, L.M.S.W, C.A.A.D.C
- Clinical Social Worker
- Detroit, MI
National Provider Identifier
1780085597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801071630
- Practice address
- 1300 W Fort St
Detroit, MI 48226-3007 - Phone
- (313) 963-3434
- Fax
- (313) 963-1832
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-02780 | MI | |
| Social Worker | 104100000X | 6801071630 | MI | |
| Clinical Social Worker | 1041C0700X | 6801071630 | MI | Primary |
Addresses
Primary practice location
1300 W Fort St
Detroit, MI 48226-3007
Mailing address
1300 W Fort St
Detroit, MI 48226-3007
Phone (313) 963-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-02780 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801071630 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1780085597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W FORT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263007",
"telephone_number": "313-963-3434",
"fax_number": "313-963-1832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W FORT ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482263007",
"telephone_number": "313-963-3434",
"fax_number": "313-963-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUKER",
"first_name": "CHRISTINA",
"credential": "L.M.S.W, C.A.A.D.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-02780",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801071630",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.