Individual provider Active NPI

Amy Marzulla, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1043640295
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092297 Issued in MI
Practice address
122 S Main St Ste 310
Ann Arbor, MI 48104-1925
Phone
(734) 408-1537
NPI assigned
Nov 24, 2013
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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 6801092297 MI Primary

Addresses

Primary practice location

122 S Main St Ste 310
Ann Arbor, MI 48104-1925

Mailing address

313 E Cross St
Ypsilanti, MI 48198-2939
Phone (734) 408-1537

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
I20220127000973 MI Practitioner - Clinical Social Worker 8628460524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092297MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cycle Breakers Collective LLC Clinical CurrentSince Oct 7, 2025 Accepting new patients
Morrowroot Clinical Past Accepting new patients

Locations

2082 S State St
Ann Arbor, MI 48104
Phone (269) 235-1920

238 Nickels Arc
Ann Arbor, MI 48104
Phone (734) 210-0971

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, 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": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1043640295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E CROSS ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481982939",
            "telephone_number": "734-408-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 310",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041925",
            "telephone_number": "734-408-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZULLA",
        "first_name": "AMY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.