Individual provider Active NPI

Loretta Ann Carbone, MSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1013577840
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801072378
Practice address
3131 S State St
Ann Arbor, MI 48108-1658
Phone
(248) 483-0326
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801072378 Primary

Addresses

Primary practice location

3131 S State St
Ann Arbor, MI 48108-1658

Mailing address

3131 S State St
Ann Arbor, MI 48108-1658
Phone (248) 483-0326

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
I20190727000110 MI Practitioner - Clinical Social Worker 2365778479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maturity MattersGroup PAC ID 5597120204, 17 clinicians
RMJ1Group PAC ID 3870822604, 5 clinicians

Practice addresses (Care Compare)

1880 W Stadium Blvd
Ann Arbor, MI 48103-4504
Phone (734) 369-6163

5331 Plymouth Rd
Ann Arbor, MI 48105-9520
Phone (734) 412-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Current Accepting new patients
Heckendorn Consultation and Therapy, PLLC Clinical CurrentSince Apr 23, 2025 Accepting new patients
Regents of the Unversity of Michigan Social Worker CurrentSince Aug 1, 2021 Accepting new patients
Maturity Matters Clinical CurrentSince Apr 23, 2025 Accepting new patients
RMJ1 Social Worker CurrentSince Dec 1, 2025 Accepting new patients

Locations

220 Collingwood St
Ste 140
Ann Arbor, MI 48103
Phone (734) 274-0536

5331 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 412-7300

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1880 W Stadium Blvd
Ann Arbor, MI 48103
Phone (734) 369-6163

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

1051 N Canton Center Rd
Canton, MI 48187
Phone (734) 647-5670

Organizations & group practices 5

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1013577840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081658",
            "telephone_number": "248-483-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081658",
            "telephone_number": "248-483-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONE",
        "first_name": "LORETTA",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "6801072378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.