Individual provider Active NPI

Myra Saniyah, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1467966721
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6901100829 Issued in MI
Practice address
122 S Main St Ste 200
Ann Arbor, MI 48104-1925
Phone
(734) 945-6210
Fax
(734) 368-9115
NPI assigned
Nov 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6901100829 MI Primary

Addresses

Primary practice location

122 S Main St Ste 200
Ann Arbor, MI 48104-1925

Mailing address

1217 Miller Ave
Ann Arbor, MI 48103-3754
Phone (734) 635-8580

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
6901100829MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted and Flowing Therapy, LLC Current Accepting new patients

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": "1511481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1467966721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MILLER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033754",
            "telephone_number": "734-635-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041925",
            "telephone_number": "734-945-6210",
            "fax_number": "734-368-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANIYAH",
        "first_name": "MYRA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-24",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6901100829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.