Active NPI
Max Moylan, LLMSW - CLINICAL
- Social Worker
- Northville, MI
National Provider Identifier
1285373761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 21500 Haggerty Rd Ste 350
Northville, MI 48167-8992 - Phone
- (734) 265-0841
- NPI assigned
- Jun 2, 2022
- Last updated
- Jul 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6851115023 | Other | MI | LIMITED LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115023 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sally Barbat PLLC | Current | 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.