David C. Votruba II, PHD, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801084780 Issued in MI

Practice address

400 Maynard St
Suite 206
Ann Arbor, MI 48104-2440

Phone

(734) 678-2918

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Apr 1, 2002 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1477728160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAYNARD ST",
            "address_2": "SUITE 206",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042440",
            "telephone_number": "734-678-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAYNARD ST",
            "address_2": "SUITE 206",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042440",
            "telephone_number": "734-678-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTRUBA",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHD, LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "8008982820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devang Vora, M.D.
• Madison Vore
• Taylor Voris
• Alan Lee Vorst, MD
• Aidan Aflaki Vosooghi, MD
• Kristen Loeher Votruba, PHD
• Cecilia Votta
• Jennifer Votta, D.O.
• Jill E Vowels
• Camille A Vozar, MSW

• 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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.