Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADI RESTUM
DeactivatedSHADI RESTUM is a Clinical Social Worker healthcare provider located in DEARBORN, Michigan. NPI 1518477165 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · DEARBORN, MI
This NPI has been deactivated.
The record was deactivated on April 4, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1518477165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2017 (3.4821917808219 yrs)
- Last Updated
- Jul 8, 2021
- Deactivated
- Apr 4, 2021
Practice Information
- Address
-
835 MASON ST STE A-240DEARBORN, MI, 481242231Browse MI providers · Browse ZIP 48124
- Phone
- 3135151077
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. NORMA KEIL SHAW | LMSW | 1528003571 |
| STEPHEN JAMES SMITH | — | 1023042983 |
| LISA LOWTHER VEENSTRA | LMSW | 1477588697 |
| MS. CAROL MURPHY | MSW, LMSW | 1902911126 |
| MARLA FENWICK | CSW | 1346341237 |
| KATHLEEN RANSOME | CSW | 1023119633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.