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SHADI RESTUM NPI 1518477165


NPI Information

NPI: 1518477165
Provider Name: SHADI RESTUM
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
835 MASON ST STE A-240
DEARBORN, MI
ZIP 48124
Phone: (313) 515-1077
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Shadi Restum is a clinical social worker in Dearborn, MI. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Shadi Restum NPI is 1518477165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

835 MASON ST STE A-240
DEARBORN, MI
ZIP 48124-231
Phone: (313) 515-1077

The enumeration date for this NPI number is 10/10/2017 and was last updated on 7/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
21041C0700XSocial WorkerClinicalYes
3106S00000XBehavior TechnicianNo

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: 4/28/2024

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