Individual provider Active NPI

Daniel Birckbichler, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1205662053
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851118857 Issued in MI
Practice address
2755 Carpenter Rd Ste 3SE
Ann Arbor, MI 48108-1187
Phone
(734) 548-6099
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 6851118857 MI Primary

Addresses

Primary practice location

2755 Carpenter Rd Ste 3SE
Ann Arbor, MI 48108-1187

Mailing address

4017 Chester Dr Apt 112
Ypsilanti, MI 48197-7240
Phone (413) 270-0881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Jan 1, 2025 Accepting new patients
Pure Psychiatry of Michigan PLLC PastSince Sep 15, 2024 Accepting new patients

Locations

2755 Carpenter Rd
Ste 3SE
Ann Arbor, MI 48108
Phone (734) 548-6099

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1205662053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 CHESTER DR APT 112",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977240",
            "telephone_number": "413-270-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 CARPENTER RD STE 3SE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081187",
            "telephone_number": "734-548-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCKBICHLER",
        "first_name": "DANIEL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851118857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.