Active NPI
Adam Anderson
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1124775994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851116484
- Practice address
- 4925 Packard St
Ann Arbor, MI 48108-1521 - Phone
- (734) 971-9781
- NPI assigned
- Mar 2, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851116484 | MI | Primary |
Addresses
Primary practice location
4925 Packard St
Ann Arbor, MI 48108-1521
Mailing address
4925 Packard St
Ann Arbor, MI 48108-1521
Phone (734) 971-9781
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 |
|---|---|---|---|
| 6851116484 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Social Services of Washtenaw County | Current | Accepting new patients | |
| All Well-Being Services | Past | Accepting new patients | |
| Adult Well Being Services | Past | Accepting new patients |
Locations
4925 Packard St
Ann Arbor, MI 48108
Phone (734) 971-9781
Organizations & group practices 3
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.
-
- Voluntary or Charitable Agency
- Ann Arbor, MI
- NPI 1679687339
-
- Case Management Agency
- Detroit, MI
- NPI 1023353984
-
- Psychiatry Physician
- Detroit, MI
- NPI 1679663546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1124775994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081521",
"telephone_number": "734-971-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 PACKARD ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081521",
"telephone_number": "734-971-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-02",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851116484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.