Individual provider Active NPI

Noah S Menlo, LLMSW

  • Social Worker
  • Livonia, MI
National Provider Identifier
1992698906
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851120198 Issued in MI
Practice address
34441 8 Mile Rd Ste 116
Livonia, MI 48152-4013
Phone
(734) 469-0513
NPI assigned
May 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851120198 MI Primary

Addresses

Primary practice location

34441 8 Mile Rd Ste 116
Livonia, MI 48152-4013

Mailing address

23044 Crossley Ave
Hazel Park, MI 48030-1602
Phone (248) 760-9999

Other practice location 1

23044 Crossley Ave
Hazel Park, MI 48030-1602
Phone (248) 760-9999

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
6851120198MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1992698906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23044 CROSSLEY AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301602",
            "telephone_number": "248-760-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34441 8 MILE RD STE 116",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524013",
            "telephone_number": "734-469-0513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23044 Crossley Ave",
            "address_purpose": "LOCATION",
            "city": "Hazel Park",
            "state": "MI",
            "postal_code": "480301602",
            "country_code": "US",
            "telephone_number": "248-760-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENLO",
        "first_name": "NOAH",
        "middle_name": "S",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851120198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.