Individual provider Active NPI

Wanda Y Massey, LMSW

  • Social Worker
  • Dearborn Heights, MI
National Provider Identifier
1013763242
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
680111566210 Issued in MI
Practice address
24500 Ford Rd
Dearborn Heights, MI 48127-3182
Phone
(734) 655-0051
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 680111566210 MI Primary

Addresses

Primary practice location

24500 Ford Rd
Dearborn Heights, MI 48127-3182

Mailing address

3240 Vassar St
Dearborn, MI 48124-3571
Phone (313) 766-8389

Other names 1

  • Wanda Y Beydoun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723000629 MI Practitioner - Clinical Social Worker 5698211944 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680111566210MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Sobh Therapy LLC Social Worker CurrentSince May 9, 2024 Accepting new patients
Reprocess Therapy LLC Clinical CurrentSince Oct 2, 2025 Accepting new patients

Locations

24500 Ford Rd
Ste 10
Dearborn Heights, MI 48127
Phone (734) 655-0051

2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1013763242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 VASSAR ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243571",
            "telephone_number": "313-766-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273182",
            "telephone_number": "734-655-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "WANDA",
        "middle_name": "Y",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "680111566210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "BEYDOUN",
            "middle_name": "Y",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dearborn Heights, MI

Sources for this page

Verify at the official NPI Registry.