DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JACOB STANTON

MEDICARE: JACOB STANTON
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1972452902
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB STANTON
Provider Business Mailing Address
First Line : 1451 WALNUT RIDGE CIR
Second Line :
City : CANTON
State : MI
Zip : 48187-3718
Country : US
Telephone Number : 248-302-8126
Fax Number : 248-302-8126
Provider Business Practice Location Address
First Line : 24424 W MCNICHOLS RD
Second Line :
City : DETROIT
State : MI
Zip : 48219-3653
Country : US
Telephone Number : 313-531-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

Similar Medicare Providers

1962351908 — ISABELLA MAMMEL
Practice Location Address:
24424 W MCNICHOLS RD
DETROIT, MI
48219-3653
Practice Phone: 313-531-2500
Practice Fax:
1093118135 — EDGAR GLOVER
Practice Location Address:
24424 W MCNICHOLS RD
DETROIT, MI
48219-3653
Practice Phone: 313-255-0900
Practice Fax:
1659456184 — DR. STEPHANIE DENISE STEVENSON M.D.
Practice Location Address:
24424 W MCNICHOLS RD
DETROIT, MI
48219-3653
Practice Phone: 313-531-2500
Practice Fax: 313-255-1795
1679627574 — MRS. DEBRA LYNN ROCHNA LMSW
Practice Location Address:
24424 W MCNICHOLS RD
DETROIT, MI
48219-3653
Practice Phone: 313-531-2500
Practice Fax: 313-255-3471
1215081922 — MS. MERRILYN MAE THOMAS LMSW
Practice Location Address:
24424 W MCNICHOLS RD
DETROIT, MI
48219-3653
Practice Phone: 313-531-2500
Practice Fax: 313-255-3471
1518011253 — D. MANNING WILLIAMS LMSW
Practice Location Address:
24424 W MCNICHOLS RD
DETROIT, MI
48219-3653
Practice Phone: 313-531-2500
Practice Fax: 313-255-3471

Directions to “ JACOB STANTON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.