Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ivan Arthur Bishaw Jr., MSLBSW

Individual provider Social Worker · NPI 1174983639

Mr. Ivan Arthur Bishaw Jr., MSLBSW is a Social Worker in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
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Practice location Address checks out

1025 E Forest Ave
Detroit, MI 48207-1024
Phone: (313) 213-5260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6802068733 (MI)

Record details

NPI number1174983639
Entity typeIndividual (Type 1)
GenderMale
Credentials MSLBSW
Sole proprietorYes
NPI enumeratedFebruary 26, 2016
Last updated in NPPESFebruary 26, 2016

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