Individual provider Active NPI

Margaret Rose Wyatt, LMSW

  • Social Worker
  • Milford, MI
National Provider Identifier
1821592452
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801102165 Issued in MI
Practice address
1100 Corporate Office Dr Ste 100
Milford, MI 48381-5011
Phone
(248) 587-7801
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 6801102165 MI Primary

Addresses

Primary practice location

1100 Corporate Office Dr Ste 100
Milford, MI 48381-5011

Mailing address

1100 Corporate Office Dr Ste 100
Milford, MI 48381-5011

Other practice location 1

22250 Providence Dr Ste 500
Southfield, MI 48075-6213
Phone (248) 849-3441

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

LicenseStateTypeSpecialty
6801102165MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catching Sunrise LLC Clinical Current Accepting new patients

Locations

1100 Corporate Office Dr
Ste 100
Milford, MI 48381
Phone (248) 325-8632

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1821592452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CORPORATE OFFICE DR STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CORPORATE OFFICE DR STE 100",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483815011",
            "telephone_number": "248-587-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22250 Providence Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756213",
            "country_code": "US",
            "telephone_number": "248-849-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "MARGARET",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.