Provider Demographics
NPI:1952641698
Name:MASUDI, ALIYAH (LMSW)
Entity Type:Individual
Prefix:
First Name:ALIYAH
Middle Name:
Last Name:MASUDI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2890 CARPENTER RD STE 800
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1262
Mailing Address - Country:US
Mailing Address - Phone:734-259-4063
Mailing Address - Fax:866-970-4762
Practice Address - Street 1:2890 CARPENTER RD STE 800
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1262
Practice Address - Country:US
Practice Address - Phone:734-259-4063
Practice Address - Fax:866-970-4762
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-16
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010859031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical