Maisha Kenyatta is a Clinical in Detroit, Michigan. Maisha Kenyatta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maisha Kenyatta is 1629157474. The last update date is 2007-07-08.
Maisha Kenyatta's current location address is 13340 E Warren Ave, Detroit, Michigan. You can contact this provider via phone number 3138226940 and fax number 3138226940. The mailing address for Maisha Kenyatta is 13340 E Warren Ave, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maisha Kenyatta |
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Address | 13340 E Warren Ave, Detroit, Michigan |
Phone Number | 3138226940 |
Fax Number | 3138226940 |
Sole Proprietor | Y |
Credentials | MSW |
NPI Number Detail
NPI Number | 1629157474 |
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Provider Enumeration Date | 2006-11-03 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 13340 E Warren Ave |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482152112 |
Phone Number | 3138226940 |
Fax Number | 3138226940 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 6801019818 |
Definition: 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, certif |
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What is the unique 10-digit identification code assigned to Maisha Kenyatta by the Centers for Medicare & Medicaid Services?
The Maisha Kenyatta has been issued the NPI (National Provider Identifier) 1629157474, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Maisha Kenyatta?
The Maisha Kenyatta is physically situated at 13340 E Warren Ave, in the city of Detroit, state of MI, with the postal code 482152112.
What is Maisha Kenyatta's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maisha Kenyatta's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Maisha Kenyatta receive its 1629157474 assignment?
The Maisha Kenyatta was assigned its 1629157474 on 2006-11-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Maisha Kenyatta last refreshed?
The information related to the Maisha Kenyatta, including its address, specialty, and other relevant details, was last updated on 2007-07-08.