Individual provider Active NPI

Alijah Jonah, MSW

  • Clinical Social Worker
  • Dexter, MI
National Provider Identifier
1124658125
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114202 Issued in MI
Practice address
2820 Baker Rd Ste 100
Dexter, MI 48130-1196
Phone
(734) 649-6348
Fax
(734) 580-2922
NPI assigned
Jan 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801106325 MI
Clinical Social Worker 1041C0700X 6801114202 MI Primary

Addresses

Primary practice location

2820 Baker Rd Ste 100
Dexter, MI 48130-1196

Mailing address

2820 Baker Rd Ste 100
Dexter, MI 48130-1196
Phone (734) 649-6348

Other identifiers 1

IdentifierTypeStateIssuer
6801114202OtherMISTATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20231102003613 MI Practitioner - Clinical Social Worker 8729435318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106325MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Counseling Services LLC CurrentSince Oct 24, 2023 Accepting new patients
Unwritten Endings, LLC Clinical PastSince Apr 30, 2021 Accepting new patients
Sasco Dexter LLC PastSince Apr 6, 2023 Accepting new patients

Locations

2820 Baker Rd
Ste 100
Dexter, MI 48130
Phone (734) 580-2920

Organizations & group practices 3

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": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1124658125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BAKER RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301196",
            "telephone_number": "734-649-6348",
            "fax_number": "734-580-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 BAKER RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301196",
            "telephone_number": "734-649-6348",
            "fax_number": "734-580-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAH",
        "first_name": "ALIJAH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106325",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN - DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "6801114202",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.