Healthcare Provider Details

I. General information

NPI: 1780502385
Provider Name (Legal Business Name): ALONDRA MARIA PERKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21611 E 11 MILE RD
SAINT CLAIR SHORES MI
48081-1636
US

IV. Provider business mailing address

1956 CAMPAU FARMS CIR
DETROIT MI
48207-5166
US

V. Phone/Fax

Practice location:
  • Phone: 586-944-2902
  • Fax:
Mailing address:
  • Phone: 817-630-2184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851122439
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: