Active NPI
Iman Hassan, BSW
- Social Worker
- Inkster, MI
National Provider Identifier
1841430998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 307 Cherry Valley Dr
Apt P15
Inkster, MI 48141-1492 - Phone
- (313) 618-5741
- Fax
- (313) 893-0064
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
307 Cherry Valley Dr
Apt P15
Inkster, MI 48141-1492
Mailing address
307 Cherry Valley Dr
Apt P15
Inkster, MI 48141-1492
Phone (313) 618-5741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3434247 | Medicaid | MI |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236038400000",
"number": "1841430998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 CHERRY VALLEY DR",
"address_2": "APT P15",
"city": "INKSTER",
"state": "MI",
"postal_code": "481411492",
"telephone_number": "313-618-5741",
"fax_number": "313-893-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 CHERRY VALLEY DR",
"address_2": "APT P15",
"city": "INKSTER",
"state": "MI",
"postal_code": "481411492",
"telephone_number": "313-618-5741",
"fax_number": "313-893-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "IMAN",
"name_prefix": "Mrs.",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3434247",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inkster, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.