Individual provider Active NPI

Taliesyn Cederwall, LLMSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1831929025
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851117264 Issued in MI
Practice address
3830 Packard St Ste 280
Ann Arbor, MI 48108-2276
Phone
(734) 335-0005
NPI assigned
Aug 3, 2024
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 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 6851117264 MI Primary

Addresses

Primary practice location

3830 Packard St Ste 280
Ann Arbor, MI 48108-2276

Mailing address

3830 Packard St Ste 280
Ann Arbor, MI 48108-2276
Phone (734) 335-0005

Other names 1

  • Miki Cederwall Professional name

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
6851117264MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1831929025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 280",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082276",
            "telephone_number": "734-335-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 280",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082276",
            "telephone_number": "734-335-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDERWALL",
        "first_name": "TALIESYN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-08-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851117264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKI",
            "last_name": "CEDERWALL",
            "credential": "LLMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.