Healthcare Provider Details

I. General information

NPI: 1194665554
Provider Name (Legal Business Name): MS. MALAK ALRIFAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 MASON ST STE B-312
DEARBORN MI
48124-2231
US

IV. Provider business mailing address

2650 PULASKI ST
HAMTRAMCK MI
48212-3011
US

V. Phone/Fax

Practice location:
  • Phone: 248-788-6873
  • Fax:
Mailing address:
  • Phone: 313-960-1049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851120410
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: