Organization Active NPI

Marion D Evans

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1316456684
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801019125 Issued in MI
Legal business name
MARION D EVANS
Practice address
1817 W Stadium Blvd Ste E
Ann Arbor, MI 48103-4577
Phone
(734) 645-5349
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

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

Authorized official

Name
Cecilia Sharp, MEDICAL BILLER
Title
Biller
Phone
(517) 920-4602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801019125 MI Primary

Addresses

Primary practice location

1817 W Stadium Blvd Ste E
Ann Arbor, MI 48103-4577

Mailing address

729 S 7TH St
Ann Arbor, MI 48103-4764
Phone (734) 645-5349

National Provider Directory

National Provider Directory

Locations

1817 W Stadium Blvd
Ste E
Ann Arbor, MI 48103
Phone (734) 645-5349

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1316456684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 S 7TH ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034764",
            "telephone_number": "734-645-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W STADIUM BLVD STE E",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034577",
            "telephone_number": "734-645-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION D EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "517-920-4602",
        "authorized_official_credential": "MEDICAL BILLER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019125",
            "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 Sep 29, 2017; 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.