Maureen E. Leavitt, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801080546 Issued in MI

Practice address

1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220

Phone

(734) 973-6779

Fax

(734) 973-6609

NPI assigned

Apr 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Marnie E. Leavitt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Room to Talk

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
  • NPI 1053724138
  NPD (past) Authorized official

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1497175590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 SKYLINE CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039723",
            "telephone_number": "734-546-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VICTORS WAY STE 10",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085220",
            "telephone_number": "734-973-6779",
            "fax_number": "734-973-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "MAUREEN",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNIE",
            "last_name": "LEAVITT",
            "middle_name": "E.",
            "prefix": "MRS.",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Robert Learman, NP
• David W Learned, MD
• Andrew Leat, MD
• Kimberly Ann Leavens, R.N.
• David M Leavitt, MD
• Steven Mark Leber, MD
• Andrew Leblanc, MD
• Belinda Koo Leblanc, M.D.
• Jennifer Leblanc, RN
• Madison Leblanc, DDS

• 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 Oct 16, 2023; 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.