Individual provider Active NPI

Amy Katherine Delira, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1982980512
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093372 Issued in MI
Practice address
34024 W 8 Mile Rd Ste 104
Farmington Hills, MI 48335-5209
Phone
(313) 437-1869
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 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 6801093372 MI Primary

Addresses

Primary practice location

34024 W 8 Mile Rd Ste 104
Farmington Hills, MI 48335-5209

Mailing address

33550 Stocker St
Farmington Hills, MI 48335-5361
Phone (313) 720-4522

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
6801093372MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deeper Roots Wellness LLC CurrentSince May 24, 2020 Accepting new patients

Locations

34024 W 8 Mile Rd
Ste 104
Farmington Hills, MI 48335
Phone (248) 888-8183

Organizations & group practices 1

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1982980512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33550 STOCKER ST",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355361",
            "telephone_number": "313-720-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34024 W 8 MILE RD STE 104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355209",
            "telephone_number": "313-437-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIRA",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.