Individual provider Active NPI

Alyssa Kraemer

  • Social Worker
  • Livonia, MI
National Provider Identifier
1770480675
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851121123 Issued in MI
Practice address
19000 St Joes Pkwy Ste 160
Livonia, MI 48152-1478
Phone
(734) 884-5200
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851121123 MI Primary

Addresses

Primary practice location

19000 St Joes Pkwy Ste 160
Livonia, MI 48152-1478

Mailing address

15099 Regina Ave
Allen Park, MI 48101-1824

Other practice location 1

990 W Ann Arbor Trl Ste 210
Plymouth, MI 48170-6202
Phone (734) 455-4600

Other practice location 2

15099 Regina Ave
Allen Park, MI 48101-1824
Phone (734) 761-7310

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

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1770480675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15099 REGINA AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY STE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521478",
            "telephone_number": "734-884-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 W Ann Arbor Trl Ste 210",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706202",
            "country_code": "US",
            "telephone_number": "734-455-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15099 Regina Ave",
            "address_purpose": "LOCATION",
            "city": "Allen Park",
            "state": "MI",
            "postal_code": "481011824",
            "country_code": "US",
            "telephone_number": "734-761-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851121123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.