Individual provider Active NPI

Nawal Darwish

  • Clinical Social Worker
  • Dearborn, MI
National Provider Identifier
1902463128
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107629 Issued in MI
Practice address
6451 Schaefer Rd
Dearborn, MI 48126-2212
Phone
(313) 945-8138
Fax
(313) 203-3390
NPI assigned
May 22, 2019
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU
Clinical Social Worker 1041C0700X 6801107629 MI Primary

Addresses

Primary practice location

6451 Schaefer Rd
Dearborn, MI 48126-2212

Mailing address

2651 Saulino CT
Dearborn, MI 48120-1556
Phone (313) 842-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240831000242 MI Practitioner - Clinical Social Worker 3870032022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2651 Saulino CT
Dearborn, MI 48120-1556
Phone (313) 842-7010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801107629MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arab Community Center for Economic and Social Services Access CurrentSince Jun 5, 2024 Accepting new patients

Locations

2651 Saulino Ct
Dearborn, MI 48120
Phone (313) 842-7010

6450 Maple St
Dearborn, MI 48126
Phone (313) 216-2200

6451 Schaefer Rd
Dearborn, MI 48126
Phone (313) 945-8138

Organizations & group practices 1

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1902463128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 SAULINO CT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201556",
            "telephone_number": "313-842-7010",
            "fax_number": "313-842-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262212",
            "telephone_number": "313-945-8138",
            "fax_number": "313-203-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWISH",
        "first_name": "NAWAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.