Individual provider Active NPI

Lorraine Wagner Steele

  • Social Worker
  • Detroit, MI
National Provider Identifier
1871552463
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801014722 Issued in MI
Practice address
2051 W Grand Blvd
Detroit, MI 48208-1105
Phone
(313) 961-5431
Fax
(313) 961-3324
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401006164 MI
Social Worker 104100000X 6801014722 MI Primary

Addresses

Primary practice location

2051 W Grand Blvd
Detroit, MI 48208-1105

Mailing address

44131 Hanford Rd
Canton, MI 48187-2815
Phone (734) 414-0129

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

LicenseStateTypeSpecialty
6401006164MIMDCounselor
6801014722MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Center Community Mental Health Services Past Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 Accepting new patients

Organizations & group practices 2

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1871552463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44131 HANFORD RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872815",
            "telephone_number": "734-414-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081105",
            "telephone_number": "313-961-5431",
            "fax_number": "313-961-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "LORRAINE",
        "middle_name": "WAGNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401006164",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801014722",
            "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 Apr 28, 2011; 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.