Organization Active NPI

Jennifer Ratliff-Moss LMSW, LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1003359126
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801062190 Issued in MI
Legal business name
JENNIFER RATLIFF-MOSS LMSW, LLC
Practice address
5340 Plymouth Rd
Suite 208
Ann Arbor, MI 48105-9341
Phone
(734) 905-6649
Fax
(734) 369-3369
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Jennifer Ann Ratliff-Moss, LMSWNPI 1891197059
Title
Owner/Provider
Phone
(734) 905-6649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801062190 MI Primary

Addresses

Primary practice location

5340 Plymouth Rd
Suite 208
Ann Arbor, MI 48105-9341

Mailing address

4008 Calgary CT
Ann Arbor, MI 48108-2798
Phone (734) 905-6649

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1003359126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 CALGARY CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082798",
            "telephone_number": "734-905-6649",
            "fax_number": "734-369-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD",
            "address_2": "SUITE 208",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059341",
            "telephone_number": "734-905-6649",
            "fax_number": "734-369-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RATLIFF-MOSS LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "RATLIFF-MOSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "734-905-6649",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801062190",
            "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 22, 2016; 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.