Active NPI
Stacie M Mohammed, B.A., LBSW, QMRP
- Social Worker
- Farmington Hills, MI
National Provider Identifier
1891984225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802074867
- Practice address
- 30445 Northwestern Hwy Ste 210
Farmington Hills, MI 48334-3163 - Phone
- (248) 855-8422
- Fax
- (248) 855-8412
- NPI assigned
- Oct 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802074867 | MI | Primary |
Addresses
Primary practice location
30445 Northwestern Hwy Ste 210
Farmington Hills, MI 48334-3163
Mailing address
6705 Lark St
Detroit, MI 48213-2317
Phone (313) 925-9428
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802074867 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1891984225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6705 LARK ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482132317",
"telephone_number": "313-925-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30445 NORTHWESTERN HWY STE 210",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343163",
"telephone_number": "248-855-8422",
"fax_number": "248-855-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMMED",
"first_name": "STACIE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "B.A., LBSW, QMRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-22",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802074867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.