Dominion Adult Day Care and Therapeutic Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801020767 Issued in MI

Legal business name

DOMINION ADULT DAY CARE AND THERAPEUTIC CLINIC

Practice address

12601 E Canfield St
Detroit, MI 48215-2210

Phone

(313) 586-2249

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Billie R Smith

Title

Partner

Phone

(313) 586-2249

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1922401744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 E CANFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152210",
            "telephone_number": "313-586-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 E CANFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152210",
            "telephone_number": "313-586-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION ADULT DAY CARE AND THERAPEUTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "313-586-2249",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Domenico, RD
• Domestic Home Help Care Service
• Domestic Life Services LLC
• Michael Matthew Dominello, DO
• Joy Domingo, RN
• Dominion Transportation LLC
• Rachael Domino, NP
• Cydney Domsic, PSYD
• Domus Secreta LLC.
• Alexis Catherine Domzalski

• 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 May 20, 2015; 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.