Individual provider Active NPI

Ann Marie Shibley, LMSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1568835197
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109597 Issued in MI
Practice address
2707 Ashman St Ste 102
Midland, MI 48640-4449
Phone
(989) 941-6006
Fax
(989) 702-2312
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801101088 MI
Clinical Social Worker 1041C0700X 6801109597 MI Primary

Addresses

Primary practice location

2707 Ashman St Ste 102
Midland, MI 48640-4449

Mailing address

2014 N Saginaw Rd # 204
Midland, MI 48640-6614
Phone (989) 941-6006

Other names 1

  • Ann Marie Christman Former name

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
I20190109003158 MI Practitioner - Clinical Social Worker 1052657103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2707 Ashman St
Suite 102
Midland, MI 48640-4449
Phone (989) 941-6006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109597MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Midland PLLC Clinical CurrentSince Feb 8, 2024 Accepting new patients
Hyacinth Clinical Services and Consulting PLLC PastSince Jun 28, 2023 Accepting new patients

Locations

913 S Saginaw Rd
Midland, MI 48640

2014 N Saginaw Rd
Midland, MI 48640
Phone (517) 302-0598

2707 Ashman St
Ste 102
Midland, MI 48640
Phone (989) 941-6006

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": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1568835197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N SAGINAW RD # 204",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406614",
            "telephone_number": "989-941-6006",
            "fax_number": "989-702-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 ASHMAN ST STE 102",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404449",
            "telephone_number": "989-941-6006",
            "fax_number": "989-702-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBLEY",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "CHRISTMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.