Individual provider Active NPI

Dayries Michelle Donald

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1861131260
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116947 Issued in MI
Practice address
26555 Evergreen Rd Ste 870
Southfield, MI 48076-4239
Phone
(248) 430-0594
Fax
(800) 868-0294
NPI assigned
Jun 2, 2022
Last updated
Aug 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801116947 MI Primary

Addresses

Primary practice location

26555 Evergreen Rd Ste 870
Southfield, MI 48076-4239

Mailing address

9135 Cloverlawn St
Detroit, MI 48204-2730
Phone (313) 401-3877

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
6801116947MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Therapy Clinic CurrentSince Dec 3, 2023 Accepting new patients

Locations

330 Town Center Dr
Ste 328
Dearborn, MI 48126
Phone (248) 430-0594

26555 Evergreen Rd
Ste 870
Southfield, MI 48076
Phone (248) 430-0594

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1861131260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 CLOVERLAWN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482042730",
            "telephone_number": "313-401-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26555 EVERGREEN RD STE 870",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764239",
            "telephone_number": "248-430-0594",
            "fax_number": "800-868-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "DAYRIES",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.