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ASCENSION PROVIDENCE HOSPITAL NPI 1144285107


NPI Information

NPI: 1144285107
Provider Name: ASCENSION PROVIDENCE HOSPITAL

Other Name: PH SOCIAL WORKERS /PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC

Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 849-3000
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ASCENSION PROVIDENCE HOSPITAL is a social worker in Southfield, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. ASCENSION PROVIDENCE HOSPITAL NPI is 1144285107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ph Social Workers /providence Hosptial And Medical Centers Inc.

The provider's business location address is:

16001 W 9 MILE RD
SOUTHFIELD, MI
ZIP 48075-818
Phone: (248) 849-3000
Fax: (248) 849-2244

The provider's authorized official is Sarah Starkel .
The authorized official title is Credentialing Coordinator and has the following contact phone number (248) 680-8121.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YP2500XCounselorProfessionalNo
3103T00000XPsychologistNo
4103TC0700XPsychologistClinicalNo
51041C0700XSocial WorkerClinicalNo
6208D00000XGeneral PracticeNo
7104100000XSocial WorkerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1800F316780OTHERMICHIGANMI BLUE CROSS GROUPPIN#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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