Healthcare Provider Details

I. General information

NPI: 1689242257
Provider Name (Legal Business Name): ZEINAB ALMANFI LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 06/11/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEIGHBORHOOD SERVICE ORGANIZATION 9641 HARPER AVE #2,
DETROIT MI
48213
US

IV. Provider business mailing address

6531 STEADMAN ST
DEARBORN MI
48126-1752
US

V. Phone/Fax

Practice location:
  • Phone: 313-961-4890
  • Fax:
Mailing address:
  • Phone: 313-985-4864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801103884
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: