Active NPI
Amanda Byrnes, LLMSW
- Social Worker
- Southgate, MI
National Provider Identifier
1669643409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801090019
- Practice address
- 15601 Northline Rd
Southgate, MI 48195-2334 - Phone
- (734) 785-7705
- Fax
- (734) 285-8035
- NPI assigned
- Mar 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801090019 | MI | Primary |
Addresses
Primary practice location
15601 Northline Rd
Southgate, MI 48195-2334
Mailing address
15601 Northline Rd.
Southgate, MI 48195
Phone (734) 785-7705
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 |
|---|---|---|---|
| 6801090019 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1669643409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15601 NORTHLINE RD.",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "48195",
"telephone_number": "734-785-7705",
"fax_number": "734-285-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15601 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952334",
"telephone_number": "734-785-7705",
"fax_number": "734-285-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNES",
"first_name": "AMANDA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-20",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801090019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.