Individual provider Active NPI

Saniyah Shahid

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1982015269
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108654 Issued in MI
Practice address
5958 N Canton Center Rd Ste 900
Canton, MI 48187-2740
Phone
(734) 737-1200
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 6801108654 MI Primary

Addresses

Primary practice location

5958 N Canton Center Rd Ste 900
Canton, MI 48187-2740

Mailing address

50914 Rockingham Dr
Canton, MI 48188-2885
Phone (734) 730-1502

Other practice location 1

34815 W Michigan Ave
Wayne, MI 48184-1799
Phone (734) 721-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209001894 MI Practitioner - Clinical Social Worker 8325453178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801108654MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical Current Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Jan 1, 2021 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jan 1, 2021 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Prime Counseling Services LLC Clinical Past Accepting new patients

Locations

5958 N Canton Center Rd
Ste 900
Canton, MI 48187
Phone (734) 727-1200

400 Renaissance Ctr
Detroit, MI 48243
Phone (248) 599-1582

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282

Organizations & group practices 5

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": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1982015269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50914 ROCKINGHAM DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882885",
            "telephone_number": "734-730-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 N CANTON CENTER RD STE 900",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872740",
            "telephone_number": "734-737-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34815 W Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841799",
            "country_code": "US",
            "telephone_number": "734-721-4739",
            "fax_number": "734-721-9448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHID",
        "first_name": "SANIYAH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.