Active NPI
Woodli Krutek, LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1396375721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106327
- Practice address
- 326 W Liberty St Ste 5
Ann Arbor, MI 48103-4341 - Phone
- (828) 242-2906
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106327 | MI | Primary |
Addresses
Primary practice location
326 W Liberty St Ste 5
Ann Arbor, MI 48103-4341
Mailing address
326 W Liberty St Ste 5
Ann Arbor, MI 48103-4341
Phone (828) 242-2906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801106327 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branching Out Therapy Woodli Krutek Sole MBR | Clinical | Current | Accepting new patients |
Locations
326 W Liberty St
Ste 5
Ann Arbor, MI 48103
Phone (734) 210-1162
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Ann Arbor, MI
- NPI 1710729629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1396375721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W LIBERTY ST STE 5",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481034341",
"telephone_number": "828-242-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W LIBERTY ST STE 5",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481034341",
"telephone_number": "828-242-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUTEK",
"first_name": "WOODLI",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106327",
"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 May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.