Active NPI
Mariam Abdalla
- Social Worker
- Sterling Heights, MI
National Provider Identifier
1619696051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851110735
- Practice address
- 3601 15 Mile Rd
Sterling Heights, MI 48310-5356 - Phone
- (586) 722-7253
- NPI assigned
- Aug 26, 2022
- Last updated
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851110735 | MI | Primary |
Addresses
Primary practice location
3601 15 Mile Rd
Sterling Heights, MI 48310-5356
Mailing address
2241 Normandy Dr
Troy, MI 48085-1077
Phone (313) 421-4698
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 |
|---|---|---|---|
| 6851110735 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaldean Community Foundation | Current | Accepting new patients |
Locations
3601 15 Mile Rd
Sterling Heights, MI 48310
Phone (586) 722-7253
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.
-
- Community/Behavioral Health Agency
- Sterling Heights, MI
- NPI 1669935557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1619696051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 NORMANDY DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851077",
"telephone_number": "313-421-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 15 MILE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105356",
"telephone_number": "586-722-7253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDALLA",
"first_name": "MARIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851110735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.