MR. IVAN ARTHUR BISHAW JR. (NPI# 1174983639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174983639 |
| Entity Type | Individual |
| Full Name | MR. IVAN ARTHUR BISHAW JR. |
| Other Name | MR. IVAN ARTHUR BISHAW JR. |
| Credential | M.S. LBSW |
| Practice Address |
1025 E Forest Ave Detroit MI 48207-1024 |
| Practice Telephone | 3132135260 |
| Mailing Telephone | 3132135070 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6802068733 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1025 E FOREST AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114144847 | County of Wayne | Community/Behavioral Health | 1025 E Forest Ave, Building C, Detroit, MI 48207-1024 | 2007-04-20 |
| 1740891498 | Leathe Dantzler | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1098 | 2020-08-14 |
| 1790309334 | Wendy Sue Lawson | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2020-05-29 |
| 1265075253 | Ian J Moore | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-22 |
| 1124661459 | Safaa Issawi | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-18 |
| 1003321357 | Tamika L. Matlock | Counselor | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-12-08 |
| 1154830503 | Latoya Taylor | Psychologist | 1025 E Forest Ave, Bldg C Room 216, Detroit, MI 48207 | 2017-09-28 |
| 1063950715 | Ahmar Zaman | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-02-02 |
| 1043752124 | Jochebed Swilley | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-11-07 |
| 1407216468 | Ruth Smith | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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 and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363758 | Ana H Calandrino | Social Worker | 155 W Congress St Ste 206, Detroit, MI 48226-3200 | 2020-07-22 |
| 1295352532 | Laysha Cooks | Social Worker | 18638 Hartwell St, Detroit, MI 48235-1345 | 2020-07-02 |
| 1851922892 | Celeste Gaskin | Social Worker | 9103 Longworth St, Detroit, MI 48209-1717 | 2020-01-29 |
| 1619526100 | Diamond Adult Foster and Respite Homes LLC | Social Worker | 8028 Middlepoint St, Detroit, MI 48204-3132 | 2019-09-06 |
| 1083269922 | Amelia Mariah Allen | Social Worker | 13511 Archdale St, Detroit, MI 48227-1335 | 2019-08-07 |
| 1942853023 | Eshe Institute LLC | Social Worker | 19600 Grand River Ave, Detroit, MI 48223-1280 | 2019-07-18 |
| 1013569920 | Tatyana Aubrey Pryor | Social Worker | 6821 Medbury St, Detroit, MI 48211-3317 | 2019-07-10 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1902464969 | Michanda Gant | Social Worker | 18244 W Mcnichols Rd, Detroit, MI 48219-4163 | 2019-06-04 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.