Eleanor Marie Qualls

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802070438 Issued in MI

Legal business name

ELEANOR MARIE QUALLS

Practice address

20314 Fenmore St
Detroit, MI 48235-2294

Phone

(313) 618-6254

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Eleanor Marie Qualls

Title

Ceo/President

Phone

(313) 618-6254

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Gilmore

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1790844207
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1982899415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20314 FENMORE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352294",
            "telephone_number": "313-618-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20314 FENMORE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352294",
            "telephone_number": "313-618-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR MARIE QUALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "313-618-6254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802070438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elderkin
• Frances Ethel Eldis, PH.D., CCC-A/SLP
• Elizabeth Jane Eldon, MD
• April Michele Eldridge
• Sharon Eldridge, DNP, RN, ACNPC-AG
• Rogers E. a. Elebra, PHARM.D.
• Electronic Services Technologies LLC
• Elena Hearts of Bless Hands LLC
• Dayna Nichole Elenis, AT, ATC, LMT
• Maudisa Elerson, NONE

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.