Individual provider Active NPI

Anne Marie Williamson, LMSW

  • Social Worker
  • Plymouth, MI
National Provider Identifier
1245569185
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
680-106-8377 Issued in MI
Practice address
192 N. Main St
Plymouth, MI 48170
Phone
(734) 459-6016
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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 680-106-8377 MI Primary

Addresses

Primary practice location

192 N. Main St
Plymouth, MI 48170

Mailing address

409 Plymouth Rd Ste 190
Plymouth, MI 48170-1493
Phone (734) 459-6016

Other names 1

  • Anne Marie Johnston 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
I20101208000718 MI Practitioner - Clinical Social Worker 2062609647 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

409 Plymouth Rd
Suite 190
Plymouth, MI 48170-1493
Phone (734) 459-6016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680-106-8377MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Williamson Counseling PLLC Social Worker CurrentSince Dec 1, 2018 Accepting new patients
Pine Rest Christian Mental Health Services Social Worker CurrentSince Jul 14, 2023 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Jul 14, 2023 Accepting new patients
Community Mental Health for Central Michigan CurrentSince Mar 1, 2021 Accepting new patients
Barbara a. Blom LLC Past Accepting new patients
Ann Marie Bradley Enterprises Inc Past Accepting new patients

Locations

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

409 Plymouth Rd
Ste 190
Plymouth, MI 48170
Phone (734) 416-3341

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1245569185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PLYMOUTH RD STE 190",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701493",
            "telephone_number": "734-459-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 N. MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-459-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "680-106-8377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "JOHNSTON",
            "middle_name": "MARIE",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.