Organization Active NPI

Wayne County Therapeutic, Inc.

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1841340478
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WAYNE COUNTY THERAPEUTIC, INC.
Practice address
29510 7 Mile Rd
Livonia, MI 48152-1910
Phone
(248) 427-9525
Fax
(248) 427-9528
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Bernice Alberta Brown, COTA
Title
Owner
Phone
(248) 427-9525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

29510 7 Mile Rd
Livonia, MI 48152-1910

Mailing address

29510 7 Mile Rd
Livonia, MI 48152-1910
Phone (248) 427-9525

National Provider Directory

National Provider Directory
Tax ID family
Wayne County Therapeutic Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841340478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29510 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-427-9525",
            "fax_number": "248-427-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29510 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-427-9525",
            "fax_number": "248-427-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE COUNTY THERAPEUTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "ALBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-427-9525",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.