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GOODWILL INDUSTRIES OF GREATER DETROIT NPI 1548358245


NPI Information

NPI: 1548358245
Provider Name: GOODWILL INDUSTRIES OF GREATER DETROIT
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization
Address:
3111 GRAND RIVER AVE
DETROIT, MI
ZIP 48208
Phone: (313) 964-3900
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GOODWILL INDUSTRIES OF GREATER DETROIT is a case manager care coordinator in Detroit, MI. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. GOODWILL INDUSTRIES OF GREATER DETROIT NPI is 1548358245. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3111 GRAND RIVER AVE
DETROIT, MI
ZIP 48208-962
Phone: (313) 964-3900
Fax: (313) 964-3909

The provider's authorized official is Lorna G Utley .
The authorized official title is President And Ceo and has the following contact phone number (313) 557-8787.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/18/2011.


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
1101YM0800XCounselorMental HealthNo
2171M00000XCase Manager/Care CoordinatorYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12783305MEDICAIDMICHIGAN

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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