Individual provider Active NPI

Emily May Humesky

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1215412390
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801108110 Issued in MI
Practice address
2610 W Liberty St
Ann Arbor, MI 48103-6560
Phone
(734) 368-9691
NPI assigned
Sep 25, 2018
Last updated
Dec 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801108110 MI Primary

Addresses

Primary practice location

2610 W Liberty St
Ann Arbor, MI 48103-6560

Mailing address

2610 W Liberty St
Ann Arbor, MI 48103-6560

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 10, 2024 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801108110MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety and Ocd Treatment Center of Ann Arbor CurrentSince Oct 4, 2020 Accepting new patients

Locations

2610 W Liberty St
Ann Arbor, MI 48103
Phone (734) 368-9691

Organizations & group practices 1

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1215412390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W LIBERTY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W LIBERTY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036560",
            "telephone_number": "734-368-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMESKY",
        "first_name": "EMILY",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801108110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.