Elizabeth Derby Sammons Rodems, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091832 Issued in MI

Practice address

2245 S State St
Ann Arbor, MI 48104-6184

Phone

(734) 769-0209

NPI assigned

Oct 16, 2018

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

Other names 1

• Ms. Elizabeth Derby Sammons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1336615467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 GLENBRIDGE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046728",
            "telephone_number": "419-350-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046184",
            "telephone_number": "734-769-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEMS",
        "first_name": "ELIZABETH",
        "middle_name": "DERBY SAMMONS",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SAMMONS",
            "middle_name": "DERBY",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauryn Renee Rochlen, M.D.
• Jean M Rockey, CNNP
• Danica Rockney, M.D.
• Michelle Dobija Rockwell, M.D.
• Pamela G Rockwell, DO
• Kyla Rodgers
• Lily Rodgers, MD
• Phillip E Rodgers, MD
• Bridger Rodoni
• Miguel Rodrigues

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.