Individual provider Active NPI

Jane L Doner, M.A.,LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1003117904
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085361 Issued in MI
Practice address
2479 Peters Rd
Ann Arbor, MI 48103-9499
Phone
(734) 665-5050
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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 6801085361 MI Primary

Addresses

Primary practice location

2479 Peters Rd
Ann Arbor, MI 48103-9499

Mailing address

439 Woodgrove Dr
Ann Arbor, MI 48103-9353
Phone (734) 358-2197

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6801085361MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Lives Counseling PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1003117904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WOODGROVE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039353",
            "telephone_number": "734-358-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2479 PETERS RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039499",
            "telephone_number": "734-665-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONER",
        "first_name": "JANE",
        "middle_name": "L",
        "credential": "M.A.,LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.