Individual provider Active NPI

Max Moylan, LLMSW - CLINICAL

  • Social Worker
  • Northville, MI
National Provider Identifier
1285373761
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
21500 Haggerty Rd Ste 350
Northville, MI 48167-8992
Phone
(734) 265-0841
NPI assigned
Jun 2, 2022
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 NU Primary
Clinical Social Worker 1041C0700X 6851115023 MI

Addresses

Primary practice location

21500 Haggerty Rd Ste 350
Northville, MI 48167-8992

Mailing address

21500 Haggerty Rd Ste 350
Northville, MI 48167-8992
Phone (734) 265-0841

Other practice location 1

26711 Woodward Ave Ste 208
Huntington Woods, MI 48070-1368
Phone (248) 703-4920

Other identifiers 1

IdentifierTypeStateIssuer
6851115023OtherMILIMITED LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmoylan@intersectionalinsight.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851115023MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Barbat PLLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

21500 Haggerty Rd
Ste 350
Northville, MI 48167
Phone (734) 265-0841

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1285373761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 HAGGERTY RD STE 350",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481678992",
            "telephone_number": "734-265-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 HAGGERTY RD STE 350",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481678992",
            "telephone_number": "734-265-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26711 Woodward Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Huntington Woods",
            "state": "MI",
            "postal_code": "480701368",
            "country_code": "US",
            "telephone_number": "248-703-4920",
            "fax_number": "248-629-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYLAN",
        "first_name": "MAX",
        "name_prefix": "Mr.",
        "credential": "LLMSW - CLINICAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851115023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LICENSE NUMBER",
            "identifier": "6851115023",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmoylan@intersectionalinsight.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "26711 Woodward Ave Ste 208",
            "city": "Huntington Woods",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480701368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.