Poonam Raj Sripada, LMSW CAADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096402 Issued in MI

Practice address

206 S Main St Ste 201
Ann Arbor, MI 48104-2114

Phone

(313) 479-4605

NPI assigned

Apr 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spiritual Fitness LLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1740857317
  Medicare reassignment NPD Authorized official
• Asnaa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Detroit, MI
  • NPI 1346637758

  Multi-Specialty

  Medicare reassignment NPD
• Hegira Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westland, MI
  • NPI 1184684979

  Social Worker

  Medicare reassignment NPD
• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391

  Multi-Specialty

  Medicare reassignment NPD
• RMJ1

  • Social Worker
  • Ann Arbor, MI
  • NPI 1841853850
  Medicare reassignment NPD
• Hegira Health, Inc.

  • Primary Care Clinic/Center
  • Westland, MI
  • NPI 1477141356
  NPD
• Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1114667763
  NPD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1174889539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042114",
            "telephone_number": "313-479-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST STE 201",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042114",
            "telephone_number": "313-479-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29551 Greenfield Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480765872",
            "country_code": "US",
            "telephone_number": "313-479-4605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SRIPADA",
        "first_name": "POONAM",
        "middle_name": "RAJ",
        "name_prefix": "Ms.",
        "credential": "LMSW CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096402",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashok Srinivasan, MD
• Kalavathy K Srinivasan, MD
• Saumini Srinivasan, MD
• Sharan Srinivasan, MD
• Sudharsan Srinivasan, MD, MSE
• Rebecca Kaufman Sripada, PH.D.
• Sekhar Chandra Sripada, M.D.
• Arnav Srivastava, MD
• Nicole Sue Sroufe, MD, MPH
• St Joseph Mercy Hospital

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.