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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2024.

{
    "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

All providers in Dearborn, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.