Active NPI
Ayesha Malik, LLMSW
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1295646990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851121798
- Practice address
- 21751 W 11 Mile Rd Ste 205
Southfield, MI 48076-3712 - Phone
- (248) 301-1080
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851121798 | MI | Primary |
Addresses
Primary practice location
21751 W 11 Mile Rd Ste 205
Southfield, MI 48076-3712
Mailing address
21751 W 11 Mile Rd Ste 205
Southfield, MI 48076-3712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1295646990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21751 W 11 MILE RD STE 205",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21751 W 11 MILE RD STE 205",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763712",
"telephone_number": "248-301-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "AYESHA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851121798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.