MIA MICHELLE HALL (NPI# 1629437769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629437769 |
| Entity Type | Individual |
| Full Name | MIA MICHELLE HALL |
| Credential | LMSW |
| Practice Address |
3901 Chrysler Dr Detroit MI 48201-2167 |
| Mailing Address |
1560 E Maple Rd Ste 400 Troy MI 48083-1138 |
| Practice Telephone | 3139933434 |
| Practice Fax Number | 3139933421 |
| Mailing Telephone | 2485815972 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801086971 | MI | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
6801086971 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275880254 | Mia S Hall | Counselor | 1560 Fishinger Rd, Columbus, OH 43221-2108 | 2012-08-09 |
| 1013211713 | Mia Yvette Hall | Social Worker | 121 N 2nd St, Suite301, Fort Pierce, FL 34950-4435 | 2011-01-10 |
| Street Address |
3901 CHRYSLER DR |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844998 | Belverly J Jones | Nurse Practitioner | 3901 Chrysler Dr, Ste 4a, Detroit, MI 48201-2167 | 2005-07-08 |
| 1679193585 | Sarah Beth Murray | Social Worker | 3901 Chrysler Dr, Detroit, MI 48201-2167 | 2020-04-21 |
| 1265095681 | Samuel Joseph Malian | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr, Detroit, MI 48201-2167 | 2019-04-22 |
| 1710348859 | Ashley Burgess | Registered Nurse | 3901 Chrysler Dr, Detroit, MI 48201-2167 | 2016-03-17 |
| 1639550346 | Joseph Darwiyn Enos | Nurse Practitioner | 3901 Chrysler Dr, Ste 4a, Detroit, MI 48201-2167 | 2015-06-18 |
| 1376948919 | Shatha Alkatib | Physician Assistant | 3901 Chrysler Dr, Detroit, MI 48201-2167 | 2014-10-24 |
| 1629400270 | Marquetta Yolanda Norwood | Nurse Practitioner | 3901 Chrysler Dr, Ste 4a, Detroit, MI 48201-2167 | 2013-08-06 |
| 1073952842 | Kelly Marie Powell | Social Worker | 3901 Chrysler Dr, Detroit, MI 48201 | 2013-06-14 |
| 1487907556 | Sarah Saunders | Social Worker | 3901 Chrysler Dr, 4a, Detroit, MI 48201-2167 | 2012-10-25 |
| 1396057998 | Danielle Christian Leedy | Nurse Practitioner | 3901 Chrysler Dr, Suite 4a, Detroit, MI 48201-2167 | 2010-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958811 | Jeana L Rooks | Social Worker | 19340 Riverview St, Detroit, MI 48219-4684 | 2020-10-07 |
| 1457966749 | Crystal Radford | Social Worker | 229 Riverside Dr, Detroit, MI 48215-3010 | 2020-09-13 |
| 1285248799 | Lachonta Alise Conley | Social Worker | 12594 Promenade St, Detroit, MI 48213-1416 | 2020-09-02 |
| 1780297754 | Simone D Yancy | Social Worker | 14247 Riverview St, Detroit, MI 48223-2414 | 2020-08-28 |
| 1104435460 | Goddess Great | Social Worker | 17163 E Warren Ave, Detroit, MI 48224-2279 | 2020-07-23 |
| 1710501689 | Matthew Vanderwindt | Social Worker | 3554 Yorkshire Rd, Detroit, MI 48224-2324 | 2020-06-05 |
| 1669091286 | Evan Theodore Fulford | Social Worker | 19928 Lichfield Rd, Detroit, MI 48221-1363 | 2020-04-14 |
| 1669001335 | Eric Allan Haynes | Social Worker | 1454 Strathcona Dr, Detroit, MI 48203-1464 | 2020-04-05 |
| 1629601729 | Stephanie Beaton | Social Worker | 3011 W Grand Blvd Ste 406, Detroit, MI 48202-3011 | 2020-02-17 |
| 1871125781 | Amalia S Miralrio | Social Worker | 1214 Griswold St Apt 805, Detroit, MI 48226-1816 | 2020-02-08 |
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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.