BAKARI WALLACE


Address: 2888 W Grand Blvd, Detroit, MI 48202-2612
Phone: 3138748715

BAKARI WALLACE (NPI# 1407259674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407259674
Entity Type Individual
Full Name BAKARI WALLACE
Practice Address 2888 W Grand Blvd
Detroit
MI 48202-2612
Mailing Address 14882 Piedmont St
Detroit
MI 48223-2243
Practice Telephone 3138748715
Mailing Telephone 3132080466
Enumeration Date 2014-10-02
Last Update Date 2014-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker MI Behavioral Health & Social Service Providers

Office Location

Street Address 2888 W GRAND BLVD
City DETROIT
State MI
Zip Code 48202-2612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710986450 Felicia R. Randolph Internal Medicine 2888 W Grand Blvd, Detroit, MI 48202-2612 2005-07-15
1518479559 Noureyah Rageh Nurse Practitioner 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-10-31
1245741206 Danita Mayes Dixon Nurse Practitioner 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-10-18
1154862787 Kimberly Louise Thornton Pharmacist 2888 W Grand Blvd, Detroit, MI 48202-2612 2017-03-15
1548638380 Fareeha Nadeem Counselor 2888 W Grand Blvd, Detroit, MI 48202-2612 2015-09-10
1720405418 Brittney Daftuar Social Worker 2888 W Grand Blvd, Detroit, MI 48202-2612 2014-03-19
1801148911 The Wellness Plan Medical Centers Dentist 2888 W Grand Blvd, Detroit, MI 48202-2612 2012-10-12
1780953059 Stephanie L Gray Counselor 2888 W Grand Blvd, Suite 360, Detroit, MI 48202-2612 2011-12-15
1497052583 Gayatri Sham Joshi Physical Therapist 2888 W Grand Blvd, Detroit, MI 48202-2612 2011-02-25
1134355902 Gateway Obgyn Associates Pllc Obstetrics & Gynecology 2888 W Grand Blvd, St. 287, Detroit, MI 48202-2612 2009-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy 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 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]

Providers in the same taxonomy and city

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
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

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.

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