Individual provider Active NPI

Sarath Priya Rednam-Waldo, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1528612538
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801104039 Issued in MI
Practice address
18925 Oak Dr
Detroit, MI 48221-2263
Phone
(314) 805-4188
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 6801104039 MI Primary

Addresses

Primary practice location

18925 Oak Dr
Detroit, MI 48221-2263

Mailing address

18925 Oak Dr
Detroit, MI 48221-2263
Phone (314) 805-4188

Other practice location 1

31600 Telegraph Rd Ste 280
Bingham Farms, MI 48025-4317
Phone (248) 972-8093

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
6801104039MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarath Priya Rednam-Waldo LMSW PLLC Clinical PastSince Sep 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1528612538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18925 OAK DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212263",
            "telephone_number": "314-805-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18925 OAK DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212263",
            "telephone_number": "314-805-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31600 Telegraph Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254317",
            "country_code": "US",
            "telephone_number": "248-972-8093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDNAM-WALDO",
        "first_name": "SARATH",
        "middle_name": "PRIYA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801104039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.