Individual provider Active NPI

Marry Rose Sanjana Cyril-Schwartz, LMSW

  • Counselor
  • Dearborn, MI
National Provider Identifier
1144535899
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6801069068 Issued in MI
Practice address
6 Parklane Blvd
Ste 695
Dearborn, MI 48126-2776
Phone
(313) 271-8170
Fax
(313) 271-8353
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6801069068 MI Primary

Addresses

Primary practice location

6 Parklane Blvd
Ste 695
Dearborn, MI 48126-2776

Mailing address

23400 Michigan Ave
Village Plaza - Suite 235
Dearborn, MI 48124-1924
Phone (313) 791-4855

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
I20120223000801 MI Practitioner - Clinical Social Worker 0143488072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1144535899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23400 MICHIGAN AVE",
            "address_2": "VILLAGE PLAZA - SUITE 235",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241924",
            "telephone_number": "313-791-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "STE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262776",
            "telephone_number": "313-271-8170",
            "fax_number": "313-271-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRIL-SCHWARTZ",
        "first_name": "MARRY ROSE",
        "middle_name": "SANJANA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6801069068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.