Individual provider Active NPI

Sydney Sharon Klevering, SOCIAL WORK

  • Clinical Social Worker
  • South Lyon, MI
National Provider Identifier
1427662295
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119828 Issued in MI
Practice address
127 N Lafayette St
South Lyon, MI 48178-1210
Phone
(248) 573-7417
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801110076 MI
Clinical Social Worker 1041C0700X 6801119828 MI Primary

Addresses

Primary practice location

127 N Lafayette St
South Lyon, MI 48178-1210

Mailing address

1740 W Big Beaver Rd Ste 107
Troy, MI 48084-3507
Phone (248) 573-7417

Other practice location 1

2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328
Phone (810) 494-7180 ext. 106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20250507000128 MI Practitioner - Clinical Social Worker 0840717575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801110076MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Counseling Center CurrentSince Apr 1, 2025 Accepting new patients
Mattioli Mental Health Clinic PLLC PastSince May 25, 2025 Accepting new patients

Locations

2200 Green Rd
Ste N
Ann Arbor, MI 48105
Phone (248) 573-7417

10524 Grand River Rd
Ste 101
Brighton, MI 48116
Phone (248) 573-7417

415 S Lafayette St
Ste 106
South Lyon, MI 48178
Phone (248) 573-7417

415 S Lafayette St
Ste 104
South Lyon, MI 48178
Phone (248) 573-7417

127 N Lafayette St
South Lyon, MI 48178
Phone (248) 573-7417

1740 W Big Beaver Rd
Ste 107
Troy, MI 48084
Phone (248) 573-7417

Organizations & group practices 2

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1427662295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W BIG BEAVER RD STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843507",
            "telephone_number": "248-573-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N LAFAYETTE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781210",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Genoa Business Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481145328",
            "country_code": "US",
            "telephone_number": "810-494-7180 x106",
            "fax_number": "810-215-1334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEVERING",
        "first_name": "SYDNEY",
        "middle_name": "SHARON",
        "credential": "SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110076",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

Verify at the official NPI Registry.