Individual provider Active NPI

Aliyah Masudi, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1952641698
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085903 Issued in MI
Practice address
2890 Carpenter Rd Ste 800
Ann Arbor, MI 48108-1262
Phone
(734) 259-4063
Fax
(866) 970-4762
NPI assigned
Feb 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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 6801085903 MI Primary

Addresses

Primary practice location

2890 Carpenter Rd Ste 800
Ann Arbor, MI 48108-1262

Mailing address

2890 Carpenter Rd Ste 800
Ann Arbor, MI 48108-1262
Phone (734) 259-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1952641698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 800",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081262",
            "telephone_number": "734-259-4063",
            "fax_number": "866-970-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 CARPENTER RD STE 800",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081262",
            "telephone_number": "734-259-4063",
            "fax_number": "866-970-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUDI",
        "first_name": "ALIYAH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-16",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.