Individual provider Active NPI

Kaazmi Mansour

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1851162499
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116795 Issued in MI
Practice address
880 W Long Lake Rd Ste 225
Troy, MI 48098-4531
Phone
(248) 533-0809
NPI assigned
Jan 11, 2024
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 6801116795 MI Primary

Addresses

Primary practice location

880 W Long Lake Rd Ste 225
Troy, MI 48098-4531

Mailing address

880 W Long Lake Rd Ste 225
Troy, MI 48098-4531

Other practice location 1

30472 23 Mile Rd
Chesterfield, MI 48047-1844
Phone (586) 863-4000

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

State licenses

LicenseStateTypeSpecialty
6801116795MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1851162499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W LONG LAKE RD STE 225",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W LONG LAKE RD STE 225",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984531",
            "telephone_number": "248-533-0809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30472 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MI",
            "postal_code": "480471844",
            "country_code": "US",
            "telephone_number": "586-863-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "KAAZMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.