Zahraa K Boussi, M.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098061 Issued in MI

Practice address

29150 Carlysle St
Inkster, MI 48141-2868

Phone

(866) 371-1130

NPI assigned

Aug 8, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Employment & Training Plus

  • Home Health Aide
  • Detroit, MI
  • NPI 1154173185
  NPD

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1972912459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 PIEDMONT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284950",
            "telephone_number": "866-371-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29150 CARLYSLE ST",
            "city": "INKSTER",
            "state": "MI",
            "postal_code": "481412868",
            "telephone_number": "866-371-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSSI",
        "first_name": "ZAHRAA",
        "middle_name": "K",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6803086601",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972912459",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lanisha Antoinette Blevins, NURSE
• Tess Bloem
• Pearl Boatwright
• Juanita Bobo, LPC, LCMHC
• Dominique Rene Bounds
• Brittany Bowers
• Katrina Dashawn Bradley
• Dale Jordan Brinsky
• Settie Evon Brinstonsims
• Alyssa Brooks

• Clinical Social Worker in Inkster, MI
• Providers in Inkster, 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 Apr 20, 2021; 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.