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Deactivated NPI 1659475069 Deactivated / Inactive NPI Female Practitioner

Judith Anne Killom , MSW LMSW

Social Worker • Westland, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judith Killom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 08, 2006
NPI Deactivation Date June 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Judith Killom, MSW LMSW was a registered Social Worker practicing in Westland, MI. Throughout an active medical career spanning 13 years, Judith Killom provided care at the practice location at 8623 N WAYNE ROAD until profile deactivation on 2019-06-10.

Practice Location & Contact Primary Location

Practice Address

8623 N Wayne Road
Hegira Programs Inc

Westland, MI 48185

Telephone 7344250636
Fax 7344254771
Associated Practice Facility / Clinic
🏢 Hegira Health, Inc Facility NPI 1184684979

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Westland, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
86 Specialists

Practicing in Westland, MI (9360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801067640

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ariel Jenkins

Case Manager/Care Coordinator

NPI 1013714195
Eduardo Torre

Social Worker - Clinical

NPI 1073862454
Kaylin Smith

Social Worker

NPI 1093601262
Karen Jackson , LLPC

Counselor - Professional

NPI 1114284783
Quenzuna White

Case Manager/Care Coordinator

NPI 1114742293
Sally Borden , LMSW, CAC-1

Counselor - Addiction (Substance Use Disorder)

NPI 1134229693

Licensed Master Social Worker, CAC1

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 10, 2019

Record deactivated on June 10, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8623 N WAYNE ROAD, HEGIRA PROGRAMS INC, WESTLAND, MI 48185 (Tel: 7344250636)

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Updated Business Mailing Address July 08, 2007

Registered at 14022 SARASOTA, REDFORD, MI 48239 (Tel: 3135335593)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JUDITH KILLOM, MSW LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #6801067640 in MI)

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Initial NPI Registration & Enumeration September 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659475069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2006
Last Update: July 08, 2007
Deactivation Date: June 10, 2019

Mailing Address

14022 Sarasota

Redford, MI 48239

Phone: 3135335593

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.