Active NPI
Jonathan Laye, LLBSW
- Social Worker
- Detroit, MI
National Provider Identifier
1841804275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802090925
- Practice address
- 10 Peterboro St
Detroit, MI 48201-2722 - Phone
- (313) 831-3160
- Fax
- (313) 826-0567
- NPI assigned
- Sep 2, 2020
- Last updated
- Sep 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802090925 | MI | Primary |
Addresses
Primary practice location
10 Peterboro St
Detroit, MI 48201-2722
Mailing address
1776 Hamlet Dr
Superior TWP, MI 48198-3663
Phone (248) 247-9447
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802090925 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599868800000",
"number": "1841804275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 HAMLET DR",
"city": "SUPERIOR TWP",
"state": "MI",
"postal_code": "481983663",
"telephone_number": "248-247-9447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PETERBORO ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012722",
"telephone_number": "313-831-3160",
"fax_number": "313-826-0567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYE",
"first_name": "JONATHAN",
"credential": "LLBSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-12",
"certification_date": "2020-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802090925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.