Individual provider Active NPI

Bennet W Wolper, M.S.W.

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1437344553
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801012879 Issued in MI
Practice address
118 W Jefferson St
Ann Arbor, MI 48103-4910
Phone
(734) 572-0882
Fax
(734) 663-9789
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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 6801012879 MI Primary

Addresses

Primary practice location

118 W Jefferson St
Ann Arbor, MI 48103-4910

Mailing address

118 W Jefferson St
Ann Arbor, MI 48103-4910
Phone (734) 572-0882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 1, 2016 through Feb 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801012879MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates of Ann Arbor Clinical Past Accepting new patients
Family Therapy Associates of Ann Arbor Clinical PastSince Dec 24, 1979 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1437344553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W JEFFERSON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034910",
            "telephone_number": "734-572-0882",
            "fax_number": "734-663-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W JEFFERSON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034910",
            "telephone_number": "734-572-0882",
            "fax_number": "734-663-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPER",
        "first_name": "BENNET",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801012879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.