Individual provider Active NPI

Robert John Hejna, LSW, ACSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1083942858
Registry record updated Dec 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801015435 Issued in MI
Practice address
2750 S State St
Ann Arbor, MI 48104-6179
Phone
(734) 662-6300
NPI assigned
Dec 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2009

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 6801015435 MI Primary

Addresses

Primary practice location

2750 S State St
Ann Arbor, MI 48104-6179

Mailing address

10916 Braun Rd
Manchester, MI 48158-8202
Phone (517) 456-8163

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
I20110928000740 MI Practitioner - Clinical Social Worker 1153592878 Reassigns benefits to 1 organization
Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2002 Hogback Rd
Suite 15
Ann Arbor, MI 48105-9736
Phone (734) 417-9734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Valley Consultation Center Inc CurrentSince Aug 17, 2011 Accepting new patients

Locations

2750 S State St
Ann Arbor, MI 48104
Phone (734) 662-1986

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": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260057600000",
    "number": "1083942858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10916 BRAUN RD",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481588202",
            "telephone_number": "517-456-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046179",
            "telephone_number": "734-662-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJNA",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "LSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801015435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.