DONALD RAY CISCO JR. B.A. S.S.T.
NPI 1205456308
Social Worker - Clinical in Southgate, MI

Active since April 20, 2020
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 324-8326 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Ray Cisco Jr. B.a. S.s.t. NPPES

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

DONALD RAY CISCO JR. B.A. S.S.T. (NPI 1205456308) is an individual clinical provider in Southgate, Michigan and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1205456308
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDONALD RAY CISCO JR.Credential: B.A. S.S.T.
Location Address14799 DIX TOLEDO RDSouthgate, MI 48195-2507
Mailing Address14799 Dix Toledo RdSouthgate, MI 48195-2507 · (734) 324-8326
Sole ProprietorYes
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
NPI 1205456308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
14799 DIX TOLEDO RD, Southgate, MI 48195

Other Identifiers 1

Medicaid6803087132MI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195
Social Worker (Clinical)
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195

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 Donald Cisco's NPI number?

The NPI number for Donald Cisco is 1205456308. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Donald Cisco located?

Donald Cisco practices at 14799 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 324-8326.

What is Donald Cisco's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Donald Cisco was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.