Individual provider Active NPI

Katie Drake

  • Social Worker
  • Melvindale, MI
National Provider Identifier
1932081981
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851119915 Issued in MI
Practice address
17461 Allen Rd
Melvindale, MI 48122-1026
Phone
(313) 920-8771
Fax
(949) 561-4887
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 6851119915 MI Primary

Addresses

Primary practice location

17461 Allen Rd
Melvindale, MI 48122-1026

Mailing address

17461 Allen Rd
Melvindale, MI 48122-1026
Phone (139) 208-7713

Other practice location 1

2250 N Monroe St
Monroe, MI 48162-4254
Phone (313) 920-8771

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
6851119915MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions of Wellness, Inc., a Nonprofit Corporation Social Worker CurrentSince May 15, 2023 Accepting new patients

Locations

17461 Allen Rd
Melvindale, MI 48122
Phone (313) 364-9042

2250 N Monroe St
Monroe, MI 48162
Phone (313) 920-8771

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1932081981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17461 ALLEN RD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221026",
            "telephone_number": "139-208-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17461 ALLEN RD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221026",
            "telephone_number": "313-920-8771",
            "fax_number": "949-561-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "MI",
            "postal_code": "481624254",
            "country_code": "US",
            "telephone_number": "313-920-8771",
            "fax_number": "949-561-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KATIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851119915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melvindale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.