Individual provider Active NPI

Christine Marie Wucherer, ACSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1437202611
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033752 Issued in MI
Practice address
1919 Peppermill Way
Ann Arbor, MI 48103-4531
Phone
(734) 669-7202
Fax
(888) 581-9066
NPI assigned
Jan 19, 2007
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801033752 MI Primary

Addresses

Primary practice location

1919 Peppermill Way
Ann Arbor, MI 48103-4531

Mailing address

1919 Peppermill Way
Ann Arbor, MI 48103-4531
Phone (734) 669-7202

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)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1437202611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 PEPPERMILL WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034531",
            "telephone_number": "734-669-7202",
            "fax_number": "888-581-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 PEPPERMILL WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034531",
            "telephone_number": "734-669-7202",
            "fax_number": "888-581-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUCHERER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033752",
            "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 Aug 1, 2014; 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.