Active NPI
Sydney Strandberg
- Social Worker
- Waterford, MI
National Provider Identifier
1689191280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801101339
- Practice address
- 1145 Parkway
Waterford, MI 48328 - Phone
- (989) 574-7315
- NPI assigned
- Aug 24, 2017
- Last updated
- Mar 17, 2018
- 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 | 6801101339 | MI | Primary |
Addresses
Primary practice location
1145 Parkway
Waterford, MI 48328
Mailing address
18635 Bowie St
Southgate, MI 48195-2805
Other practice location 1
701 McKinley Street
Bay City, MI 48708
Phone (989) 574-7315
Other practice location 2
205 E Jolly Road
A9
Lansing, MI 48910
Phone (989) 574-7315
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 |
|---|---|---|---|
| 6801101339 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jubilee Xinian Counseling and Consulting Services, LLC | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Lansing, MI
- NPI 1689229528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689191280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18635 BOWIE ST",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 PARKWAY",
"city": "WATERFORD",
"state": "MI",
"postal_code": "48328",
"telephone_number": "989-574-7315"
}
],
"practiceLocations": [
{
"address_1": "701 McKinley Street",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "48708",
"country_code": "US",
"telephone_number": "989-574-7315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 E Jolly Road",
"address_2": "A9",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "48910",
"country_code": "US",
"telephone_number": "989-574-7315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STRANDBERG",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801101339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.