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OUTSIDETHEBOX DETROIT THERAPY
NPI 1003631987
Social Worker in Dearborn Hts, MI

Active since November 18, 2024
4131 CLIPPERT ST, DEARBORN HTS, MI 48125(313) 680-0019 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Outsidethebox Detroit Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUTSIDETHEBOX DETROIT THERAPY (NPI 1003631987) is a healthcare organization registered as a social worker in Dearborn Hts, Michigan and active in the NPI registry since November 2024. The organization lists Bradley Allan Lake, Ceo/therapist, as its authorized official.

NPPES Registry Identity

NPI1003631987
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameOUTSIDETHEBOX DETROIT THERAPY
Location Address4131 CLIPPERT STDearborn Hts, MI 48125-2732
Mailing Address23131 Michigan Ave # 1046Dearborn, MI 48124-2020 · (313) 680-0019
Phone(313) 680-0019
Organization SubpartNo
Authorized OfficialBradley Allan LakeCeo/therapist · (313) 680-0019
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 17, 2024
✔ NPI 1003631987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4131 CLIPPERT ST, Dearborn Hts, MI 48125
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Outsidethebox Detroit Therapy's NPI number?

The NPI number for Outsidethebox Detroit Therapy is 1003631987. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Outsidethebox Detroit Therapy located?

Outsidethebox Detroit Therapy is located at 4131 Clippert St, Dearborn Hts, MI 48125. The listed phone number is (313) 680-0019.

What is Outsidethebox Detroit Therapy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Outsidethebox Detroit Therapy was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.