Individual provider Active NPI

Michele Adams-Calloway, CHW

  • Community Health Worker
  • Detroit, MI
National Provider Identifier
1881458248
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
12121 Broadstreet Ave
Detroit, MI 48204-1550
Phone
(313) 824-1000
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MI Primary

Addresses

Primary practice location

12121 Broadstreet Ave
Detroit, MI 48204-1550

Mailing address

3031 W Grand Blvd Ste 600
Detroit, MI 48202-3014
Phone (313) 871-3751

Other practice location 1

10809 Mack Ave
Detroit, MI 48214-2119
Phone (313) 824-1000 ext. 1

Other practice location 2

27777 Lahser Rd
Southfield, MI 48034-4751
Phone (313) 824-1000 ext. 4

Other practice location 3

23077 Greenfield Rd Ste 200
Southfield, MI 48075-3750
Phone (313) 824-1000 ext. 3

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

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Wayne County Health Authority CurrentSince Feb 8, 2025 Accepting new patients
Detroit Wayne County Health Authority PastSince Feb 11, 2024 Accepting new patients

Locations

10809 Mack Ave
Detroit, MI 48214
Phone (313) 824-1000

12121 Broadstreet Ave
Detroit, MI 48204
Phone 3138241000 ext. 2

3031 W Grand Blvd
Ste 600
Detroit, MI 48202
Phone (313) 346-5235

23077 Greenfield Rd
Ste 200
Southfield, MI 48075
Phone (248) 424-8888

27777 Lahser Rd
Southfield, MI 48034
Phone (248) 746-8840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1881458248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W GRAND BLVD STE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023014",
            "telephone_number": "313-871-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 BROADSTREET AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482041550",
            "telephone_number": "313-824-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10809 Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482142119",
            "country_code": "US",
            "telephone_number": "313-824-1000 x1",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27777 Lahser Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480344751",
            "country_code": "US",
            "telephone_number": "313-824-1000 x4",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23077 Greenfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753750",
            "country_code": "US",
            "telephone_number": "313-824-1000 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS-CALLOWAY",
        "first_name": "MICHELE",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": null,
            "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 Feb 7, 2024; 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.