Dorothy Antonow, LMSW,ACSW,CACI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081477 Issued in MI

Practice address

2008 Hogback Rd
Suite 8
Ann Arbor, MI 48105-9768

Phone

(734) 786-4900

Fax

(734) 786-8051

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iha Health Service Corporation

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD
• Iha Health Services Corporation

  • Psychiatry Physician
  • Ypsilanti, MI
  • NPI 1164137709
  NPD
• Iha Health Services Corporation

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  NPD

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295852507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 TERHUNE RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045320",
            "telephone_number": "734-973-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 HOGBACK RD",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059768",
            "telephone_number": "734-786-4900",
            "fax_number": "734-786-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONOW",
        "first_name": "DOROTHY",
        "credential": "LMSW,ACSW,CACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana A Anthony, PA
• Antieau & Co. LLC
• Noah Antieau, LLPC
• Kenneth Antkowiak, MS,LLP
• David Eric Antman, MD
• Bailey Antonowicz, MD
• Brian Paul Antrobius, MA LPC
• Laura Jean Antuna, CRNA
• Noreen Anwar, DPM
• Shaz Shuja Anwar, D.O.

• All providers in Ann Arbor, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.