Active NPI
Adam Soubhi Haj, LLMSW
- Clinical Social Worker
- Southfield, MI
National Provider Identifier
1558054007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851116385
- Practice address
- 29551 Greenfield Rd Ste 216
Southfield, MI 48076-5872 - Phone
- (248) 974-6565
- NPI assigned
- May 31, 2023
- Sex
- Male
- 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 | 6851116385 | MI | Primary |
Addresses
Primary practice location
29551 Greenfield Rd Ste 216
Southfield, MI 48076-5872
Mailing address
6801 Neckel St
Dearborn, MI 48126-1838
Phone (313) 213-0296
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 |
|---|---|---|---|
| 6851116385 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1558054007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 NECKEL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261838",
"telephone_number": "313-213-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29551 GREENFIELD RD STE 216",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765872",
"telephone_number": "248-974-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJ",
"first_name": "ADAM",
"middle_name": "SOUBHI",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851116385",
"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 May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.