Active NPI
Ann M Leary, LMSW
- Clinical Social Worker
- Paw Paw, MI
National Provider Identifier
1588763973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801021350
- Practice address
- 53292 Meadow View LN
Paw Paw, MI 49079-8642 - Phone
- (269) 267-8352
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801021350 | MI | Primary |
Addresses
Primary practice location
53292 Meadow View LN
Paw Paw, MI 49079-8642
Mailing address
53292 Meadow View LN
Paw Paw, MI 49079-8642
Phone (269) 267-8352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8008950860 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801021350 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1588763973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53292 MEADOW VIEW LN",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798642",
"telephone_number": "269-267-8352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53292 MEADOW VIEW LN",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490798642",
"telephone_number": "269-267-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "ANN",
"middle_name": "M",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801021350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "8008950860",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.