Individual provider Active NPI

Aleta Marie Runey, LMSW, CCM, ACSW

  • Social Worker
  • Detroit, MI
National Provider Identifier
1881874659
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801064768 Issued in MI
Practice address
4646 John R St
Mental Health- HCHV
Detroit, MI 48201-1916
Phone
(313) 576-3611
Fax
(313) 576-1074
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801064768 MI Primary

Addresses

Primary practice location

4646 John R St
Mental Health- HCHV
Detroit, MI 48201-1916

Mailing address

22343 Kinyon St
Unit 12
Taylor, MI 48180-3692
Phone (313) 768-5574

Other names 1

  • Aleta Marie Depetro Former name

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
6801064768MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1881874659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22343 KINYON ST",
            "address_2": "UNIT 12",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803692",
            "telephone_number": "313-768-5574",
            "fax_number": "313-576-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "MENTAL HEALTH- HCHV",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3611",
            "fax_number": "313-576-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNEY",
        "first_name": "ALETA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMSW, CCM, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801064768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALETA",
            "last_name": "DEPETRO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 17, 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.