Individual provider Active NPI

Lindy Doyle, LLMSW

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1669088571
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851110929 Issued in MI
Practice address
950 E Maple Rd Ste L2
Birmingham, MI 48009-6482
Phone
(586) 580-8135
Fax
(248) 617-2766
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 6851110929 MI Primary

Addresses

Primary practice location

950 E Maple Rd Ste L2
Birmingham, MI 48009-6482

Mailing address

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Phone (248) 658-8063

Other practice location 1

29532 Southfield Rd Ste 115
Southfield, MI 48076-2023
Phone (248) 658-8063

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
6851110929MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alyssa Jesse Therapy, LLC Clinical CurrentSince Feb 4, 2024 Accepting new patients
Southfield Mental Health Associates PC PastSince Sep 1, 2020 Accepting new patients

Locations

950 E Maple Rd
Ste L2
Birmingham, MI 48009
Phone (586) 580-8135

Organizations & group practices 2

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1669088571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29532 SOUTHFIELD RD STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762023",
            "telephone_number": "248-658-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 E MAPLE RD STE L2",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096482",
            "telephone_number": "586-580-8135",
            "fax_number": "248-617-2766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29532 Southfield Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762023",
            "country_code": "US",
            "telephone_number": "248-658-8063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "LINDY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851110929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.