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NPI Code Detail

MEDICARE: JEWISH FAMILY SERVICE

MEDICARE: JEWISH FAMILY SERVICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2103TC1900XCounseling Psychologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110834OTHERMIBCBSM PROVIDER CODE

General Provider Information

NPI Number : 1699767533
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEWISH FAMILY SERVICE
Provider Business Mailing Address
First Line : 6555 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4926
Country : US
Telephone Number : 248-592-2300
Fax Number : 248-592-2326
Provider Business Practice Location Address
First Line : 6555 W MAPLE RD
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-4926
Country : US
Telephone Number : 248-592-2300
Fax Number : 248-592-2326
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. NORMAN R KEANE
Credential :
Telephone Number : 248-592-2300
Provider Enumeration Date : 08/17/2005
Last Update Date : 09/11/2025

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Directions to “JEWISH FAMILY SERVICE ” Practice Location

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