Tahira Iman Vanner in Detroit - Social Worker

Tahira Iman Vanner - NPI 1114012754

Tahira Iman Vanner is a Social Worker in Detroit, Michigan. Tahira Iman Vanner practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Tahira Iman Vanner is 1114012754. The last update date is 2007-07-08.

Tahira Iman Vanner's current location address is 2051 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139613700 and fax number 3139613769. The mailing address for Tahira Iman Vanner is 2051 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tahira Iman Vanner
Address 2051 W Grand Blvd, Detroit, Michigan
Phone Number 3139613700
Fax Number 3139613769
Sole Proprietor Y
Credentials LLMSW

NPI Number Detail

NPI Number 1114012754
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2051 W Grand Blvd
City Detroit
State Michigan (MI)
Post Code 482081105
Phone Number 3139613700
Fax Number 3139613769

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No 6801085801
Definition:
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 an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6801085801 MI STATE LICENSE NUMBER

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FAQs about Tahira Iman Vanner

What is the unique provider identifier assigned to Tahira Iman Vanner?

The Tahira Iman Vanner has been issued the NPI (National Provider Identifier) 1114012754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Tahira Iman Vanner is located?

The Tahira Iman Vanner is situated at the following address: 2051 W Grand Blvd, Detroit, MI, 482081105.

What is the area of specialization for Tahira Iman Vanner, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tahira Iman Vanner is Social Worker, and the corresponding taxonomy code that categorizes this area of expertise is 104100000X.

On what date did Tahira Iman Vanner receive its 1114012754 assignment from the Centers for Medicare & Medicaid Services?

The Tahira Iman Vanner was assigned its 1114012754 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Tahira Iman Vanner most recently updated or revised?

The details related to Tahira Iman Vanner, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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