Active NPI
Anna Rose Bushey, LLMSW
- Clinical Social Worker
- Lincoln Park, MI
National Provider Identifier
1104496736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851115187
- Practice address
- 26184 Outer Dr
Lincoln Park, MI 48146-2084 - Phone
- (313) 389-7500
- NPI assigned
- Jun 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851115187 | MI | Primary |
Addresses
Primary practice location
26184 Outer Dr
Lincoln Park, MI 48146-2084
Mailing address
2024 W Jefferson Ave Apt 2
Trenton, MI 48183-5471
Phone (734) 218-6632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115187 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Early Autism Services | Current | 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.
-
- Community/Behavioral Health Agency
- Troy, MI
- NPI 1750849022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1104496736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 W JEFFERSON AVE APT 2",
"city": "TRENTON",
"state": "MI",
"postal_code": "481835471",
"telephone_number": "734-218-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26184 OUTER DR",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462084",
"telephone_number": "313-389-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHEY",
"first_name": "ANNA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-27",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851115187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.