Individual provider Active NPI

Roxie Flavin, LMSW

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1114528635
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801115571 Issued in MI
Practice address
46036 Michigan Ave # 180
Canton, MI 48188-2304
Phone
(734) 335-0027
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801115571 MI Primary

Addresses

Primary practice location

46036 Michigan Ave # 180
Canton, MI 48188-2304

Mailing address

46036 Michigan Ave # 180
Canton, MI 48188-2304
Phone (734) 335-0027

Other practice location 1

2000 Hogback Rd Ste 2
Ann Arbor, MI 48105-9735
Phone (734) 386-0041

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801115571MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Arbor Psychological Testing PLLC CurrentSince Mar 20, 2025 Accepting new patients
Dawn, Inc PastSince Nov 1, 2020 Accepting new patients
Complete Neuropsychology Services, Inc Clinical PastSince Jul 15, 2017 Accepting new patients
Dawn Farm PastSince Nov 1, 2020 Accepting new patients

Locations

2155 Jackson Ave
Ann Arbor, MI 48103
Phone (734) 333-7016

Organizations & group practices 4

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1114528635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE # 180",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "734-335-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE # 180",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "734-335-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hogback Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059735",
            "country_code": "US",
            "telephone_number": "734-386-0041",
            "fax_number": "734-480-8870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAVIN",
        "first_name": "ROXIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.