Active NPI
Cady Scarlett Davanzo
- Social Worker
- Dearborn, MI
National Provider Identifier
1881355014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5836 Hartwell St
Dearborn, MI 48126-2242 - Phone
- (702) 601-4165
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6852093147 | MI | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
5836 Hartwell St
Dearborn, MI 48126-2242
Mailing address
5836 Hartwell St
Dearborn, MI 48126-2242
Phone (702) 601-4165
Other names 1
- Cady Scarlett Hayes
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 |
|---|---|---|---|
| 6852093147 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1881355014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5836 HARTWELL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262242",
"telephone_number": "702-601-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5836 HARTWELL ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262242",
"telephone_number": "702-601-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVANZO",
"first_name": "CADY",
"middle_name": "SCARLETT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6852093147",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CADY",
"last_name": "HAYES",
"middle_name": "SCARLETT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.