Individual provider Active NPI

Sarah Weissman, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1114545308
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801103353 Issued in MI
Practice address
1817 W Stadium Blvd Ste C
Ann Arbor, MI 48103-4577
Phone
(734) 660-1978
NPI assigned
Jul 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 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 6801103353 MI Primary

Addresses

Primary practice location

1817 W Stadium Blvd Ste C
Ann Arbor, MI 48103-4577

Mailing address

1817 W Stadium Blvd Ste C
Ann Arbor, MI 48103-4577

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
I20201022003694 MI Practitioner - Clinical Social Worker 6002236411 Reassigns benefits to 1 organization
Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5459 Parkgrove Rd
Ann Arbor, MI 48103-9205
Phone (734) 660-1978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801103353MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Weissman LLC Clinical CurrentSince Jun 11, 2024 Accepting new patients

Locations

2531 Jackson Ave
Ann Arbor, MI 48103
Phone (734) 331-8948

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1114545308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 W STADIUM BLVD STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W STADIUM BLVD STE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034577",
            "telephone_number": "734-660-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "SARAH",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.