Individual provider Active NPI

Rheanna Marie Graver, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1083310155
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118656 Issued in MI
Practice address
343 S Main St Ste 211
Ann Arbor, MI 48104-2138
Phone
(734) 412-7400
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 6801118656 MI Primary

Addresses

Primary practice location

343 S Main St Ste 211
Ann Arbor, MI 48104-2138

Mailing address

17353 Hidden Lake Way
Northville, MI 48168-2293
Phone (269) 718-4714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801118656MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rheanna Graver Llmsw LLC Clinical CurrentSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1083310155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17353 HIDDEN LAKE WAY",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481682293",
            "telephone_number": "269-718-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S MAIN ST STE 211",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042138",
            "telephone_number": "734-412-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVER",
        "first_name": "RHEANNA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.