MR. MARY ALICE JENNINGS SW CAC1 NPI 1912026758

NPI Information

NPI: 1912026758
Provider Name: MR. MARY ALICE JENNINGS, SW, CAC1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
13336 E. WARREN AVE
DETROIT, MI
ZIP 48236
Phone: (313) 822-6940
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MR. Mary Alice Jennings, SW, CAC1 is an addiction (substance use disorder) counselor in Detroit, MI. MR. Mary Alice Jennings, SW, CAC1 NPI is 1912026758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13336 E. WARREN AVE
DETROIT, MI
ZIP 48236-128
Phone: (313) 822-6940
Fax: (313) 822-6946

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/8/2007.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1-00266	MICHIGAN	Yes
2	104100000X	Social Worker		6802057046	MICHIGAN	X

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: 11/14/2023

NPI Synchronization or Removal

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