Worthem Family Practice

LBN: Worthem Family Practice
Worthem Family Practice is an health care organization with primary practice located at 28475 Greenfield Rd Suite 207, Southfield MI 48076-3034. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Worthem Family Practice can be contacted via phone (248) 298-9858, or through Walker-Worthem, Shawnese M via phone (248) 298-9858.

Contact Information

Primary practice address
28475 Greenfield Rd Suite 207 Southfield MI 48076-3034
Phone: (248) 298-9858
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker-Worthem, Shawnese M LMSW
Phone: (248) 298-9858

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1629452651
LBN Legal business name Worthem Family Practice
DBA Doing business as
Authorized official Walker-Worthem, Shawnese M LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2015
Last updated Jul 20th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629452651 NPPES
Michigan Other 1790908283 BCBSM

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