Active NPI
Tanekqua Drakeford
- Social Worker
- Dearborn, MI
National Provider Identifier
1962914291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802089739
- Practice address
- 23400 Michigan Ave Ste P40
Dearborn, MI 48124-1928 - Phone
- (313) 689-5188
- NPI assigned
- Oct 26, 2017
- Last updated
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 6802089739 | MI | Primary |
Addresses
Primary practice location
23400 Michigan Ave Ste P40
Dearborn, MI 48124-1928
Mailing address
23400 Michigan Ave Ste P40
Dearborn, MI 48124-1928
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802089739 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Past | Accepting new patients |
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": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1962914291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23400 MICHIGAN AVE STE P40",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23400 MICHIGAN AVE STE P40",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241928",
"telephone_number": "313-689-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKEFORD",
"first_name": "TANEKQUA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-26",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802089739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.