Individual provider Active NPI

Robert Raham, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1245690171
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099133 Issued in MI
Practice address
343 S Main St Ste 211&215
Ann Arbor, MI 48104-2137
Phone
(734) 412-7400
NPI assigned
Mar 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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 6801099133 MI Primary

Addresses

Primary practice location

343 S Main St Ste 211&215
Ann Arbor, MI 48104-2137

Mailing address

343 S Main St Ste 211
Ann Arbor, MI 48104-2138
Phone (734) 412-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 1, 2025 through Dec 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801099133MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1245690171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S MAIN ST STE 211",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042138",
            "telephone_number": "734-412-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S MAIN ST STE 211&215",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042137",
            "telephone_number": "734-412-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHAM",
        "first_name": "ROBERT",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.