Layal Altairy
Individual provider Active NPI Clinical Social Worker · Dearborn, MI
NPI 1750124608 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1750124608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 5445 Oakman Blvd
Dearborn, MI 48126-3319 - Phone
- (734) 353-8789
- NPI assigned
- Jun 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MI | Yes |
Addresses
Primary practice location
5445 Oakman Blvd
Dearborn, MI 48126-3319
Mailing address
5445 Oakman Blvd
Dearborn, MI 48126-3319
Phone (734) 353-8789
NPI Registry JSON
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1750124608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263319",
"telephone_number": "734-353-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263319",
"telephone_number": "734-353-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAIRY",
"first_name": "LAYAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
- Shams Alsuraimi
- Ali Altachem
- Sanaa Altaee
- Sarah Rasheed Altaie
- Basheer Altairi
- Zainab Altalaqani
- Ahlam Altamimi I
- Batool Altamimi
- Haelah Altarab
- Shahd Nabil Altashi
All providers in Dearborn, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.