Active NPI
Diana M Ray, LMSW, CAADC
- Clinical Social Worker
- Sterling Heights, MI
National Provider Identifier
1972809440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801072090
- Practice address
- 6555 15 Mile Rd
Sterling Heights, MI 48312-4511 - Phone
- (586) 783-8113
- Fax
- (586) 307-3771
- NPI assigned
- Feb 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C-01610 | MI | |
| Clinical Social Worker | 1041C0700X | 6801072090 | MI | Primary |
Addresses
Primary practice location
6555 15 Mile Rd
Sterling Heights, MI 48312-4511
Mailing address
6555 15 Mile Rd
Sterling Heights, MI 48312-4511
Phone (586) 783-8113
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 |
|---|---|---|---|
| C-01610 | MI | MD | Addiction (Substance Use Disorder) Counselor |
| 6801072090 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1972809440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6555 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483124511",
"telephone_number": "586-783-8113",
"fax_number": "586-307-3771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483124511",
"telephone_number": "586-783-8113",
"fax_number": "586-307-3771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "DIANA",
"middle_name": "M",
"credential": "LMSW, CAADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "C-01610",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801072090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.