Active NPI
Deirdre Alsaidy, LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1669047668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW125726
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW125726 | MA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.