Gloria Kekalos Allum, M.S.W., L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059009 Issued in MI

Practice address

10 Peterboro St
Detroit, MI 48201-2722

Phone

(313) 833-4622

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1881814812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19110 MCGILL ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480666907",
            "telephone_number": "586-294-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PETERBORO ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012722",
            "telephone_number": "313-833-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKALOS ALLUM",
        "first_name": "GLORIA",
        "name_prefix": "Ms.",
        "credential": "M.S.W., L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059009",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rubena Keise, APN
• Sowande Keita
• Charnae Keith
• Katy Keith
• Laura Keith, MSW
• Alana Jordan Keller
• Christian Ernst Keller, M.D.
• Clarissa Keller, MS
• Katie Alanna Keller, D.O.
• Latasha Keller

• 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 Nov 16, 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.