Organization Active NPI

Erin Barbossa Inc

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1295279016
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096297 Issued in MI
Legal business name
ERIN BARBOSSA INC
Practice address
3830 Packard Road Suite 250
Ann Arbor, MI 48108-2051
Phone
(734) 619-0024
NPI assigned
Dec 13, 2016
Last updated
Dec 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Erin Barbossa, LMSW
Title
LMSW
Phone
(734) 619-0024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801096297 MI Primary

Addresses

Primary practice location

3830 Packard Road Suite 250
Ann Arbor, MI 48108-2051

Mailing address

5173 N Meadow CT
Ann Arbor, MI 48105-9471
Phone (734) 619-0024

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1295279016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5173 N MEADOW CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059471",
            "telephone_number": "734-619-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ROAD SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082051",
            "telephone_number": "734-619-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BARBOSSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "BARBOSSA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "734-619-0024",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.