CARLY MIYAMOTO
NPI 1649142746
Social Worker - Clinical in Troy, MI

Active since September 19, 2025
1740 W BIG BEAVER RD STE 107, TROY, MI 48084(248) 573-7417(231) 237-7014 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carly Miyamoto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY MIYAMOTO (NPI 1649142746) is an individual clinical provider in Troy, Michigan, licensed in Michigan (6851120800) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1649142746
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY MIYAMOTO
Location Address1740 W BIG BEAVER RD STE 107Troy, MI 48084-3507
Mailing Address1740 W Big Beaver Rd Ste 107Troy, MI 48084-3507 · (248) 573-7417 · Fax (231) 237-7014
Fax(231) 237-7014
Sole ProprietorNo
Enumeration DateSeptember 19, 2025
NPPES CertifiedSeptember 19, 2025
NPI 1649142746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6851120800
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1740 W BIG BEAVER RD STE 107, Troy, MI 48084

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1740 W BIG BEAVER RD STE 107
TROY, MI 48084
Social Worker (Clinical)
1740 W BIG BEAVER RD STE 107
TROY, MI 48084
Social Worker (Clinical)
1740 W BIG BEAVER RD STE 107
TROY, MI 48084
Counselor (Professional)
1740 W BIG BEAVER RD STE 107
TROY, MI 48084
Counselor (Professional)
1740 W BIG BEAVER RD STE 107
TROY, MI 48084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Miyamoto's NPI number?

The NPI number for Carly Miyamoto is 1649142746. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Carly Miyamoto located?

Carly Miyamoto practices at 1740 W Big Beaver Rd Ste 107, Troy, MI 48084. The listed phone number is (248) 573-7417.

What is Carly Miyamoto's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Carly Miyamoto was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.