Active NPI
Christine Marie Taylor, RSST,QMRP
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1497877336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6803085321
- Practice address
- 2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552 - Phone
- (734) 222-3463
- Fax
- (734) 222-3461
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6803085321 | MI | Primary |
Addresses
Primary practice location
2140 E Ellsworth Rd
Ann Arbor, MI 48108-2552
Mailing address
555 Towner St
PO Box 915
Ypsilanti, MI 48198-5752
Phone (734) 544-3000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6803085321 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family Services of Washtenaw County, Inc. | Current | Accepting new patients |
Locations
2245 S State St
Ste 200
Ann Arbor, MI 48104
Phone (734) 769-0209
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.
-
- Mental Health Counselor
- Ann Arbor, MI
- NPI 1558691162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497877336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 TOWNER ST",
"address_2": "PO BOX 915",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985752",
"telephone_number": "734-544-3000",
"fax_number": "734-544-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 E ELLSWORTH RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082552",
"telephone_number": "734-222-3463",
"fax_number": "734-222-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "RSST,QMRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6803085321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.