Mary Anne Mitich Beltzman, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801012853 Issued in MI

Practice address

2755 Carpenter Rd
Suite 3W
Ann Arbor, MI 48108-1186

Phone

(734) 476-1283

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Anne Beltzman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464480000000",
    "number": "1083754873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 CARPENTER RD",
            "address_2": "SUITE 3W",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081186",
            "telephone_number": "734-476-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CARPENTER RD",
            "address_2": "SUITE 3W",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081186",
            "telephone_number": "734-476-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITICH BELTZMAN",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801012853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BELTZMAN",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Dominique Mitchell, RN, BSN
• Shannon Lee Mitchell, CRNA
• James Craig Mitchiner, MD
• Allison Renee Mitchinson, NCTMB
• Lynda Suzanne Mitgutsch, PA-C
• Daniel Joseph Mitzel, MD
• Alice Mixer, LMSW
• Miya Care LLC
• Miya Care LLC
• Todd Miyake

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.