Individual provider Active NPI

Ann Martin Schueller, L.M.S.W.

  • Clinical Social Worker
  • Plymouth, MI
National Provider Identifier
1003100785
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078391 Issued in MI
Practice address
159 S Harvey St
Plymouth, MI 48170-1615
Phone
(248) 842-5323
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 6801078391 MI Primary

Addresses

Primary practice location

159 S Harvey St
Plymouth, MI 48170-1615

Mailing address

8512 N Canton Center Rd
Canton, MI 48187-1310
Phone (734) 459-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630000441 MI Practitioner - Clinical Social Worker 4688096134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

159 S Harvey St
Plymouth, MI 48170-1615
Phone (248) 602-0322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801078391MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Counseling, LLC Clinical CurrentSince Jun 16, 2020 Accepting new patients
Emotional Empowerment Services PLLC Clinical CurrentSince Jun 28, 2020 Accepting new patients
Center for Healing and Happiness PC Past Accepting new patients
Easterseals Morc Health Care, Inc. Clinical Past Accepting new patients

Locations

8512 N Canton Center Rd
Canton, MI 48187
Phone (734) 459-1760

159 S Harvey St
Plymouth, MI 48170
Phone (248) 602-0322

Organizations & group practices 4

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1003100785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8512 N CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871310",
            "telephone_number": "734-459-1760",
            "fax_number": "734-459-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701615",
            "telephone_number": "248-842-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUELLER",
        "first_name": "ANN",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.