Active NPI
Loretta Ann Carbone, MSW
- Social Worker
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 MattersRMJ1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Current | Accepting new patients | |
| Heckendorn Consultation and Therapy, PLLC | Clinical | Current | Accepting new patients |
| Regents of the Unversity of Michigan | Social Worker | Current | Accepting new patients |
| Maturity Matters | Clinical | Current | Accepting new patients |
| RMJ1 | Social Worker | Current | 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.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1467883587
Clinical
-
- Clinical Social Worker
- Brighton, MI
- NPI 1851713457
Social Worker
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.