Active NPI
Robert Griffith
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1164897153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801109330
- Practice address
- 110 N 4TH Ave
Ann Arbor, MI 48104-5503 - Phone
- (734) 222-3400
- NPI assigned
- Dec 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801109330 | MI | Primary |
| Social Worker | 104100000X | 6801097390 | MI |
Addresses
Primary practice location
110 N 4TH Ave
Ann Arbor, MI 48104-5503
Mailing address
555 Towner St
Ypsilanti, MI 48197
Phone (734) 544-3050
Other practice location 1
1200 N West Ave Ste 800
Jackson, MI 49202-2185
Phone (517) 945-5632
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 |
|---|---|---|---|
| 6801097390 | MI | MD | Social Worker |
| 6801109330 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Washtenaw | Past | Accepting new patients | |
| County of Washtenaw | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- State or Local Public Health Clinic/Center
- Ypsilanti, MI
- NPI 1609896018
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ypsilanti, MI
- NPI 1639132442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1164897153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 TOWNER ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-544-3050",
"fax_number": "734-544-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N 4TH AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481045503",
"telephone_number": "734-222-3400"
}
],
"practiceLocations": [
{
"address_1": "1200 N West Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492022185",
"country_code": "US",
"telephone_number": "517-945-5632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFITH",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801109330",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801097390",
"primary": false
}
],
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.