Active NPI
Jessica Hendon, LMSW
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1033526744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801096515
- Practice address
- 3820 Packard St Ste 250
Ann Arbor, MI 48108-5017 - Phone
- (734) 780-7338
- NPI assigned
- Jul 14, 2014
- 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 | 6801096515 | MI | Primary |
Addresses
Primary practice location
3820 Packard St Ste 250
Ann Arbor, MI 48108-5017
Mailing address
3820 Packard St Ste 250
Ann Arbor, MI 48108-5017
Phone (734) 249-0641
Other practice location 1
17940 Farmington Rd Ste 302
Livonia, MI 48152-3159
Phone (734) 526-1878
Other practice location 2
30000 Hiveley St
Inkster, MI 48141-1089
Phone (734) 728-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801096515 | Medicaid | MI |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Emdr and Trauma Therapy | Current | Accepting new patients | |
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Locations
3820 Packard St
Ste 250
Ann Arbor, MI 48108
Phone (734) 476-5024
Organizations & group practices 2
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.
-
- Professional Counselor
- Ann Arbor, MI
- NPI 1649811845
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1033526744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 PACKARD ST STE 250",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085017",
"telephone_number": "734-249-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 PACKARD ST STE 250",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085017",
"telephone_number": "734-780-7338"
}
],
"practiceLocations": [
{
"address_1": "17940 Farmington Rd Ste 302",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481523159",
"country_code": "US",
"telephone_number": "734-526-1878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "30000 Hiveley St",
"address_purpose": "LOCATION",
"city": "Inkster",
"state": "MI",
"postal_code": "481411089",
"country_code": "US",
"telephone_number": "734-728-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDON",
"first_name": "JESSICA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801096515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6801096515",
"state": "MI"
}
],
"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 Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.