Individual provider Active NPI

Mohamed Alsaidy

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1982145009
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW123251 Issued in MA
Practice address
2006 Hogback Rd Ste 1
Ann Arbor, MI 48105-9750
Phone
(734) 786-2338
NPI assigned
Mar 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 LICSW123251 MA Primary
Clinical Social Worker 1041C0700X 6801105850 MI

Addresses

Primary practice location

2006 Hogback Rd Ste 1
Ann Arbor, MI 48105-9750

Mailing address

2006 Hogback Rd
Ann Arbor, MI 48105-9750
Phone (734) 786-2338

Other practice location 1

463 Worcester Rd Ste 406
Framingham, MA 01701-5344
Phone (855) 284-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191105002346 MI Practitioner - Clinical Social Worker 4486986791 Reassigns benefits to 2 organizations
I20221202002422 MA Practitioner - Clinical Social Worker 4486986791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

463 Worcester Rd
Suite 406
Framingham, MA 01701-5344
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW123251MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Mercy Hospital CurrentSince Jun 1, 2020 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Oct 2, 2019 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
Northeast Health Services, LLC CurrentSince Aug 10, 2022 Accepting new patients
St Joseph Mercy Hospital CurrentSince Jun 1, 2020 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 26, 2023 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Oct 2, 2019 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Choose You PLLC Clinical PastSince Apr 30, 2023 Accepting new patients
Northeast Health Services PastSince Aug 10, 2022 Accepting new patients

Locations

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

463 Worcester Rd
Ste 406
Framingham, MA 01701
Phone (508) 388-1648

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

2006 Hogback Rd
Ann Arbor, MI 48105
Phone (734) 786-2317

2006 Hogback Rd
Ste 1
Ann Arbor, MI 48105
Phone (734) 325-4572

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1982145009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-786-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HOGBACK RD STE 1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059750",
            "telephone_number": "734-786-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Worcester Rd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017015344",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSAIDY",
        "first_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW123251",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.