Provider Demographics
NPI:1356106801
Name:DEY, SREYASHI (MSW)
Entity type:Individual
Prefix:MS
First Name:SREYASHI
Middle Name:
Last Name:DEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 FOX HUNT DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3036
Mailing Address - Country:US
Mailing Address - Phone:734-223-5615
Mailing Address - Fax:
Practice Address - Street 1:1100 VICTORS WAY STE 10
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-5220
Practice Address - Country:US
Practice Address - Phone:734-223-5615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511176591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical