Individual provider Active NPI

Alyssia Carmona, LMSW

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1942909692
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801115979 Issued in MI
Practice address
496 W Ann Arbor TRL Ste 205
Plymouth, MI 48170-6262
Phone
(440) 941-5611
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801115979 MI Primary
Clinical Social Worker 1041C0700X 6851107271 MI

Addresses

Primary practice location

496 W Ann Arbor TRL Ste 205
Plymouth, MI 48170-6262

Mailing address

496 W Ann Arbor TRL Ste 205
Plymouth, MI 48170-6262

Other practice location 1

42213 Ann Arbor Rd E
Plymouth, MI 48170-4364
Phone (440) 941-5611

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
6801115979MIMDClinical Social Worker
6851107271MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina Defiore Clinical CurrentSince May 4, 2025 Accepting new patients
Alyssia Carmona LLC Clinical CurrentSince Mar 20, 2025 Accepting new patients

Locations

42213 Ann Arbor Rd E
Plymouth, MI 48170
Phone (231) 753-6062

496 W Ann Arbor Trl
Ste 205
Plymouth, MI 48170
Phone (231) 753-6062

Organizations & group practices 2

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": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1942909692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 W ANN ARBOR TRL STE 205",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W ANN ARBOR TRL STE 205",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706262",
            "telephone_number": "440-941-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42213 Ann Arbor Rd E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481704364",
            "country_code": "US",
            "telephone_number": "440-941-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMONA",
        "first_name": "ALYSSIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115979",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851107271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; 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.