Individual provider Active NPI

Mary Sue Storie, LLMSW

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1497028252
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801093449 Issued in MI
Practice address
3830 Packard Road
Suite 250
Ann Arbor, MI 48108-2051
Phone
(734) 478-2013
NPI assigned
Feb 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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 6801093449 MI Primary

Addresses

Primary practice location

3830 Packard Road
Suite 250
Ann Arbor, MI 48108-2051

Mailing address

2910 Cascade Dr
Ann Arbor, MI 48104-6660
Phone (734) 478-2013

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
I20140415001653 MI Practitioner - Clinical Social Worker 3678705126 Reassigns benefits to 1 organization
Practice locations: Ypsilanti, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

555 Hunt PL
Ypsilanti, MI 48198-3922
Phone (734) 478-2013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Recovery Solutions, P.C. CurrentSince May 1, 2014 Accepting new patients

Locations

2008 Hogback Rd
Ste 1A
Ann Arbor, MI 48105
Phone (734) 434-6600

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.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1497028252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CASCADE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046660",
            "telephone_number": "734-478-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ROAD",
            "address_2": "SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082051",
            "telephone_number": "734-478-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORIE",
        "first_name": "MARY SUE",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.