Ann M Ackerson, MSW LMSW LMFT

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801067450 Issued in MI

Practice address

605 Howard St
Kalamazoo, MI 49008-1919

Phone

(269) 343-4320

Fax

(269) 343-4327

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1124085097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-343-4320",
            "fax_number": "269-343-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HOWARD ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081919",
            "telephone_number": "269-343-4320",
            "fax_number": "269-343-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERSON",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "MSW LMSW LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801067450",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6130497",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.