Autumn Fick

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089318 Issued in MI

Practice address

3901 Beaubein Blvd
Children'S Hospital of Mi
Detroit, MI 48306

Phone

(313) 745-0187

NPI assigned

Feb 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1881053254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN BLVD",
            "address_2": "CHILDREN'S HOSPITAL OF MI-SOCIAL WORK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013722",
            "telephone_number": "313-745-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBEIN BLVD",
            "address_2": "CHILDREN'S HOSPITAL OF MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48306",
            "telephone_number": "313-745-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elyse Fezzey
• Noah Vincent Fiala, DO
• Oswaldo Gabriel Fiallos Encalada, LMSW
• Fibers of the Family LLC
• Taylor Jordan Ficht, CD
• Christina Wilbert Fidkowski, MD
• Fidmarc Express Pharmacy PLLC
• Kara Fiegel, NP
• Andrew Field
• Erin O'Connor Field, MD

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.