PHYLLIS VAUGHAN
NPI 1205509932
Social Worker - Clinical in Detroit, MI

Active since July 28, 2021
20303 KELLY RD, DETROIT, MI 48225(313) 506-9786 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis Vaughan NPPES

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

PHYLLIS VAUGHAN (NPI 1205509932) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6851107002) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1205509932
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS VAUGHAN
Location Address20303 KELLY RDDetroit, MI 48225-1206
Mailing Address18108 Cheval DrClinton Township, MI 48038-1242 · (313) 909-5189
Sole ProprietorNo
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
NPI 1205509932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851107002
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.
20303 KELLY RD, Detroit, MI 48225

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
20303 KELLY RD
DETROIT, MI 48225
Social Worker
20303 KELLY RD
DETROIT, MI 48225
Health Maintenance Organization
20303 KELLY RD
DETROIT, MI 48225
Counselor
20303 KELLY RD
DETROIT, MI 48225
Social Worker
20303 KELLY RD
DETROIT, MI 48225
Peer Specialist
20303 KELLY RD
HARPER WOODS, MI 48225
Social Worker (Clinical)
20303 KELLY RD
DETROIT, MI 48225
Counselor (Professional)
20303 KELLY RD
HARPER WOODS, MI 48225

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 Phyllis Vaughan's NPI number?

The NPI number for Phyllis Vaughan is 1205509932. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Phyllis Vaughan located?

Phyllis Vaughan practices at 20303 Kelly Rd, Detroit, MI 48225. The listed phone number is (313) 506-9786.

What is Phyllis Vaughan'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 Phyllis Vaughan was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.