Kenya Abdullah-Lateef

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4011 Pointe O Woods St SE
Apt 77
Grand Rapids, MI 49508-8916

Phone

(616) 635-3805

NPI assigned

Apr 27, 2015

Last updated

Apr 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1972980118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 POINTE O WOODS ST SE",
            "address_2": "APT 77",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088916",
            "telephone_number": "616-635-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 POINTE O WOODS ST SE",
            "address_2": "APT 77",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495088916",
            "telephone_number": "616-635-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLAH-LATEEF",
        "first_name": "KENYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asiyah Abdul, MD
• Intsar Abdulahe
• Jwan Abdulghafour
• Jenna Abduljawad, B.S.W.
• Hafsa Abdulla, MD
• Lukman Imam Abdurrahim, MD
• Kimberly Abed
• Courtney McKay Abernathy, M.D.
• Shavonne Abernathy
• Rebecca Abert

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, 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 27, 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.