Individual provider Active NPI

Ana M Eberly, LMSW

  • Clinical Social Worker
  • Dexter, MI
National Provider Identifier
1013630839
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114762 Issued in MI
Practice address
2820 Baker Rd Ste 100
Dexter, MI 48130-1196
Phone
(517) 404-9640
NPI assigned
Sep 26, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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 6801114762 MI Primary

Addresses

Primary practice location

2820 Baker Rd Ste 100
Dexter, MI 48130-1196

Mailing address

3251 Swarthout Rd
Pinckney, MI 48169-9253
Phone (517) 404-9640

Other practice location 1

3251 Swarthout Rd
Pinckney, MI 48169-9253
Phone (517) 404-9640

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
I20231104000588 MI Practitioner - Clinical Social Worker 9931556412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114762MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Mind Counseling Services LLC CurrentSince Oct 24, 2023 Accepting new patients
The Healing Approach, Inc Clinical CurrentSince Sep 29, 2024 Accepting new patients
Sasco Dexter LLC PastSince Oct 2, 2022 Accepting new patients

Locations

7990 Grand River Rd
Ste B
Brighton, MI 48114
Phone (517) 404-9640

2820 Baker Rd
Ste 100
Dexter, MI 48130
Phone (734) 580-2920

Organizations & group practices 3

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1013630839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 SWARTHOUT RD",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699253",
            "telephone_number": "517-404-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 BAKER RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301196",
            "telephone_number": "517-404-9640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 Swarthout Rd",
            "address_purpose": "LOCATION",
            "city": "Pinckney",
            "state": "MI",
            "postal_code": "481699253",
            "country_code": "US",
            "telephone_number": "517-404-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERLY",
        "first_name": "ANA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.