Individual provider Active NPI

Robert Gerard Eder, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1285753616
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801079145 Issued in MI
Practice address
366 Pinewood St
Ann Arbor, MI 48103-2738
Phone
(734) 528-4463
NPI assigned
Mar 28, 2007
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 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 6801079145 MI Primary

Addresses

Primary practice location

366 Pinewood St
Ann Arbor, MI 48103-2738

Mailing address

366 Pinewood St
Ann Arbor, MI 48103-2738
Phone (734) 528-4463

Other practice location 1

231 Little Lake Dr Ste H
Ann Arbor, MI 48103-6247
Phone (734) 528-4463

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
I20120607000461 MI Practitioner - Clinical Social Worker 1254595093 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Crna Current Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jan 16, 2012 Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Robert Eder LMSW, LLC Clinical CurrentSince May 19, 2024 Accepting new patients
St Joseph Mercy Hospital CurrentSince Jul 22, 2021 Accepting new patients
St Joseph Mercy Hospital CurrentSince Jul 22, 2021 Accepting new patients

Locations

2006 Hogback Rd
Ste 1
Ann Arbor, MI 48105
Phone (734) 325-4572

231 Little Lake Dr
Ste H
Ann Arbor, MI 48103
Phone (734) 528-4463

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300

Organizations & group practices 7

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1285753616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 PINEWOOD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032738",
            "telephone_number": "734-528-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 PINEWOOD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032738",
            "telephone_number": "734-528-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Little Lake Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481036247",
            "country_code": "US",
            "telephone_number": "734-528-4463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDER",
        "first_name": "ROBERT",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.