Active NPI
Mohammad Yamin, LMSW
- Clinical Social Worker
- Dearborn, MI
National Provider Identifier
1104017615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801071394
- Practice address
- 18181 Oakwood Blvd Ste 311
Dearborn, MI 48124-5031 - Phone
- (313) 271-8170
- Fax
- (313) 271-8353
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801071394 | MI | Primary |
Addresses
Primary practice location
18181 Oakwood Blvd Ste 311
Dearborn, MI 48124-5031
Mailing address
15745 Wayne Road
Westland, MI 48186
Phone (734) 729-3133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801071394 | Other | MI | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801071394 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Behavioral Health,PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Social Worker
- Westland, MI
- NPI 1821025347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1104017615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15745 WAYNE ROAD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "48186",
"telephone_number": "734-729-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18181 OAKWOOD BLVD STE 311",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481245031",
"telephone_number": "313-271-8170",
"fax_number": "313-271-8353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMIN",
"first_name": "MOHAMMAD",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801071394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "6801071394",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.