Individual provider Active NPI

Jatera Maing, MSW, LCSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1093061343
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093525 Issued in MI
Practice address
2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127
Phone
(734) 386-0560
Fax
(734) 882-2861
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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 6801093525 MI Primary

Addresses

Primary practice location

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127

Mailing address

2385 S Huron Pkwy Ste 2N
Ann Arbor, MI 48104-5127
Phone (734) 386-0560

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
I20200509000145 MI Practitioner - Clinical Social Worker 7012348931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2385 S Huron Pkwy
Suite 2N
Ann Arbor, MI 48104-5127
Phone (734) 386-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arukah Wellness Journey LLC Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

2385 S Huron Pkwy
Ste 2N
Ann Arbor, MI 48104
Phone (734) 255-8082

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1093061343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-386-0560",
            "fax_number": "734-882-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY STE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045127",
            "telephone_number": "734-386-0560",
            "fax_number": "734-882-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAING",
        "first_name": "JATERA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.