Individual provider Active NPI

Erin Freeman, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1104571108
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093947 Issued in MI
Practice address
1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220
Phone
(734) 973-6779
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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 6801093947 MI Primary

Addresses

Primary practice location

1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220

Mailing address

103 Fieldcrest St Apt 302
Ann Arbor, MI 48103-5879
Phone (734) 751-7933

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
I20241203003900 MI Practitioner - Clinical Social Worker 7416483219 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
Telehealth
Offers telehealth services
Group practices
The Womens Center of Southeastern MichiganGroup PAC ID 7618298696, 9 clinicians

Practice addresses (Care Compare)

1100 Victors Way
Suite 10
Ann Arbor, MI 48108-5220
Phone (734) 973-6779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Women'S Center of Southeastern Michigan Clinical CurrentSince Nov 26, 2024 Accepting new patients

Locations

1100 Victors Way
Ste 10
Ann Arbor, MI 48108
Phone (734) 726-0253

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1104571108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FIELDCREST ST APT 302",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035879",
            "telephone_number": "734-751-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VICTORS WAY STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085220",
            "telephone_number": "734-973-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ERIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.