Organization Active NPI

Sally G Booth-Schwadron LLC

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1750151916
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALLY G BOOTH-SCHWADRON LLC
Practice address
580 Forest Ave Ste 4B
Plymouth, MI 48170-1780
Phone
(734) 474-6824
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sally G Booth-Schwadron, LMSWNPI 1942211321
Title
Psychotherapist
Phone
(734) 474-6824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

580 Forest Ave Ste 4B
Plymouth, MI 48170-1780

Mailing address

PO Box 1347
Ann Arbor, MI 48106-1347
Phone (734) 474-6824

National Provider Directory

National Provider Directory

Locations

580 Forest Ave
Ste 4B
Plymouth, MI 48170
Phone (734) 416-0890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1750151916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1347",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481061347",
            "telephone_number": "734-474-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FOREST AVE STE 4B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701780",
            "telephone_number": "734-474-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLY G BOOTH-SCHWADRON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "BOOTH-SCHWADRON",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-474-6824",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.