Individual provider Active NPI

Ciandra Syms

  • Social Worker
  • West Bloomfield, MI
National Provider Identifier
1205258704
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801107733 Issued in MI
Practice address
6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone
(248) 592-2300
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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 6801107733 MI Primary

Addresses

Primary practice location

6555 W Maple Rd
West Bloomfield, MI 48322-4926

Mailing address

6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone (248) 592-2670

Other practice location 1

89 W South Blvd Ste 200
Troy, MI 48085-1612
Phone (800) 693-1916

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.jfsdetroit.org

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
I20210727003490 MI Practitioner - Clinical Social Worker 8628471729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family ServiceGroup PAC ID 8729071170, 13 clinicians

Practice addresses (Care Compare)

6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone (248) 592-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Aug 8, 2022 Accepting new patients
Syms Psychotherapy PLLC Current Accepting new patients
Jewish Family Service Clinical CurrentSince Jul 21, 2021 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

25900 Greenfield Rd
Ste 405
Oak Park, MI 48237
Phone (248) 406-0076

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

2250 Butterfield Dr
Ste 150
Troy, MI 48084
Phone (248) 963-1916

6555 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2300

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": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1205258704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224926",
            "telephone_number": "248-592-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224926",
            "telephone_number": "248-592-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 W South Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851612",
            "country_code": "US",
            "telephone_number": "800-693-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYMS",
        "first_name": "CIANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jfsdetroit.org",
            "affiliation": "N",
            "address_1": "6555 W Maple Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483224926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.