Individual provider Active NPI

Megan Jeanne Berry, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1154069532
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5840 Interface Dr Ste 400
Ann Arbor, MI 48103-9176
Phone
(734) 627-8001
NPI assigned
May 25, 2022
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 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 MI Primary

Addresses

Primary practice location

5840 Interface Dr Ste 400
Ann Arbor, MI 48103-9176

Mailing address

1904 Whittier Rd
Ypsilanti, MI 48197-1729
Phone (260) 223-1385

Other names 1

  • Megan Jeanne Schueler Former name

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
I20220908002543 MI Practitioner - Clinical Social Worker 3274917323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5060 Jackson Rd
Suite D
Ann Arbor, MI 48103-1867
Phone (734) 627-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Skills Community Rehabilitation & Associates LLC Clinical CurrentSince Aug 30, 2022 Accepting new patients
Life Skills Community Rehabilitation & Associates LLC CurrentSince May 29, 2022 Accepting new patients

Locations

5060 Jackson Rd
Ste D
Ann Arbor, MI 48103
Phone (734) 627-8001

5840 Interface Dr
Ste 400
Ann Arbor, MI 48103
Phone (734) 627-8001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1154069532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WHITTIER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971729",
            "telephone_number": "260-223-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 INTERFACE DR STE 400",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039176",
            "telephone_number": "734-627-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MEGAN",
        "middle_name": "JEANNE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SCHUELER",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.