MR. KEITH MOSA-BASHA (NPI# 1518433895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518433895 |
| Entity Type | Individual |
| Full Name | MR. KEITH MOSA-BASHA |
| Credential | MSW |
| Practice Address |
30701 Woodward Ave Royal Oak MI 48073-0987 |
| Mailing Address |
1720 Tiverton Rd Unit 22 Bloomfield Hills MI 48304-2373 |
| Practice Telephone | 2482889333 |
| Mailing Telephone | 2489309189 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801103203 | MI | Behavioral Health & Social Service Providers |
| Street Address |
30701 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057270 | Vincent J Granowicz | Family Medicine | 30701 Woodward Ave, Suite 314, Royal Oak, MI 48073-0987 | 2005-10-17 |
| 1912511452 | Corrie Lynn Williamson | Nurse Practitioner | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2020-09-02 |
| 1811456734 | Brenda Basel Brikho | Counselor | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2019-03-19 |
| 1699128389 | Andrew Smith | Social Worker | 30701 Woodward Ave, Suite 200, Royal Oak, MI 48073-0987 | 2016-07-18 |
| 1902253354 | Victoria Cuadrio | Counselor | 30701 Woodward Ave, 200, Royal Oak, MI 48073-0987 | 2016-05-16 |
| 1124424874 | Deianira C Leach | Counselor | 30701 Woodward Ave, Ste 200, Royal Oak, MI 48073-0987 | 2014-11-07 |
| 1154724474 | Alisha Kristine Whitney | Social Worker | 30701 Woodward Ave, Suite #n200, Royal Oak, MI 48073-0987 | 2014-10-01 |
| 1124445341 | Julie Brusca | Clinical Nurse Specialist | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-26 |
| 1972920536 | Nabil Zafer Al-hourani | Internal Medicine | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-20 |
| 1538404108 | Kristi Lyn Rose | Social Worker | 30701 Woodward Ave, Suite 200, Royal Oak, MI 48073-0987 | 2012-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| 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 |
|---|---|---|---|---|
| 1821607623 | Ariel Roberts | Social Worker | 123 S Main St Ste 100, Royal Oak, MI 48067-2627 | 2020-07-28 |
| 1124652938 | Human Kindness Trauma Psychotherapy LLC | Social Worker | 1710 E 12 Mile Rd Ste C, Royal Oak, MI 48073-4200 | 2020-03-02 |
| 1881233823 | Integrated Day Services and Rehabilitation LLC | Social Worker | 627 E 11 Mile Rd Ste 105, Royal Oak, MI 48067-1961 | 2019-12-21 |
| 1053954362 | Jodi Mollica | Social Worker | 628 E Parent Ave Ste 506, Royal Oak, MI 48067-3768 | 2019-10-21 |
| 1790249472 | Maryleigh King | Social Worker | 1510 E Lincoln Ave, Royal Oak, MI 48067-3402 | 2019-01-26 |
| 1477070274 | Nicholas John Zielke | Social Worker | 25600 Woodward Ave Ste 215, Royal Oak, MI 48067-0945 | 2017-08-23 |
| 1063868040 | Julie Ann Szczepanski | Social Worker | 907 Amelia Ave, Royal Oak, MI 48073-2758 | 2016-05-10 |
| 1497128169 | Steven Whitmore | Social Worker | 2824 Trafford Rd, Royal Oak, MI 48073-2909 | 2015-11-03 |
| 1770968588 | Susan Ann Dimarco | Social Worker | 522 E Hudson Ave, Royal Oak, MI 48067-3350 | 2015-07-22 |
| 1518364900 | Zhanna Rozenberg | Social Worker | 4115 Benjamin Ave Apt 8, Royal Oak, MI 48073-1858 | 2014-12-01 |
| Find all providers in ROYAL OAK | ||||
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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.