Individual provider Active NPI

James Wortley, MSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1437284650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801007090 Issued in MI
Practice address
15 Research Dr
Ann Arbor, MI 48103-2974
Phone
(734) 662-6300
Fax
(734) 662-3365
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801007090 MI Primary

Addresses

Primary practice location

15 Research Dr
Ann Arbor, MI 48103-2974

Mailing address

84 N Stoney Creek Road
Ypsilantii, MI 48197
Phone (734) 622-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000918 MI Practitioner - Clinical Social Worker 9133303696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Valley Consultation Center IncGroup PAC ID 5698761161, 16 clinicians

Practice addresses (Care Compare)

2750 S State St
Ann Arbor, MI 48104-6179
Phone (734) 662-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801007090MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Valley Consultation Center Inc CurrentSince Mar 7, 2011 Accepting new patients
Northlight Counseling Associates Inc Past Accepting new patients

Locations

15 Research Dr
Ann Arbor, MI 48103

2750 S State St
Ann Arbor, MI 48104
Phone (734) 662-1986

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437284650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 N STONEY CREEK ROAD",
            "city": "YPSILANTII",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-622-6300",
            "fax_number": "734-622-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RESEARCH DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032974",
            "telephone_number": "734-662-6300",
            "fax_number": "734-662-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTLEY",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801007090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.