Individual provider Active NPI

Deirdre Alsaidy, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1669047668
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW125726 Issued in MA
Practice address
2723 S State St Ste 150
Ann Arbor, MI 48104-6188
Phone
(734) 926-9950
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LICSW125726 MA Primary

Addresses

Primary practice location

2723 S State St Ste 150
Ann Arbor, MI 48104-6188

Mailing address

2075 W Stadium Blvd # 3643
Ann Arbor, MI 48103-7011
Phone (734) 926-9950

Other practice location 1

112 Water St Ste 203
Boston, MA 02109-4225
Phone (339) 666-8516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW125726MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1669047668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 W STADIUM BLVD # 3643",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481037011",
            "telephone_number": "734-926-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S STATE ST STE 150",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046188",
            "telephone_number": "734-926-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Water St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021094225",
            "country_code": "US",
            "telephone_number": "339-666-8516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSAIDY",
        "first_name": "DEIRDRE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW125726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.