AUTUMN NICOLE WHITESIDE LLMSW
NPI 1265105878
Social Worker in Detroit, MI

Active since July 29, 2021
882 OAKMAN BLVD STE D, DETROIT, MI 48238(313) 961-7990(313) 883-6261 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Autumn Nicole Whiteside Llmsw NPPES

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

AUTUMN NICOLE WHITESIDE LLMSW (NPI 1265105878) is an individual social worker in Detroit, Michigan, licensed in Michigan (6851107419) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1265105878
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAUTUMN NICOLE WHITESIDECredential: LLMSW
Location Address882 OAKMAN BLVD STE DDetroit, MI 48238-4019
Mailing Address27225 Devonshire StSouthfield, MI 48076-5639 · (248) 390-0956
Fax(313) 883-6261
Sole ProprietorNo
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
NPI 1265105878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6851107419
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.

882 OAKMAN BLVD STE D, Detroit, MI 48238

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
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker (Clinical)
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Registered Nurse
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Social Worker
882 OAKMAN BLVD STE D
DETROIT, MI 48238
Nurse Practitioner (Psychiatric/Mental Health)
882 OAKMAN BLVD STE D
DETROIT, MI 48238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265105878, enumerated as an "individual" on July 29, 2021.

The provider is located at 882 OAKMAN BLVD STE D DETROIT, MI 48238 and the phone number is (313) 961-7990.

Social Worker with taxonomy code 104100000X.