Individual provider Active NPI

Hawra Khraizat

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1801247747
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097722 Issued in MI
Practice address
6451 Schaefer Rd
Dearborn, MI 48126-2212
Phone
(313) 570-0535
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097722 MI Primary

Addresses

Primary practice location

6451 Schaefer Rd
Dearborn, MI 48126-2212

Mailing address

2881 Monroe St Ste 201
Dearborn, MI 48124-3475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097722MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Miller PHD PC Clinical CurrentSince Apr 1, 2019 Accepting new patients

Locations

2881 Monroe St
Ste 201
Dearborn, MI 48124
Phone (313) 359-1977

19855 Outer Dr
Ste 300W
Dearborn, MI 48124
Phone (313) 359-1977

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1801247747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 MONROE ST STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262212",
            "telephone_number": "313-570-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHRAIZAT",
        "first_name": "HAWRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.