NPIMap

Organization Active NPI

Sarath Priya Rednam-Waldo LMSW PLLC

  • Clinical Social Worker
  • Bingham Farms, MI
National Provider Identifier
1225644131
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SARATH PRIYA REDNAM-WALDO LMSW PLLC
Practice address
31600 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4370
Phone
(314) 805-4188
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Sarath P Rednam-Waldo, LMSWNPI 1528612538
Title
Owner
Phone
(248) 579-2772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

31600 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4370

Mailing address

31600 Telegraph Rd Ste 120
Bingham Farms, MI 48025-4370
Phone (248) 579-2772

Other names 1

  • Healing Home Counseling Group PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

31600 Telegraph Rd
Ste 280
Bingham Farms, MI 48025
Phone (248) 792-8093

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1225644131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31600 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254370",
            "telephone_number": "248-579-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31600 TELEGRAPH RD STE 120",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254370",
            "telephone_number": "314-805-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATH PRIYA REDNAM-WALDO LMSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "REDNAM-WALDO",
        "authorized_official_first_name": "SARATH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-579-2772",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Home Counseling Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.