Organization Active NPI

Ann Arbor Center for Groups

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1598092553
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6802064924 Issued in MI
Legal business name
ANN ARBOR CENTER FOR GROUPS
Practice address
2301 Packard St
Ann Arbor, MI 48104-6321
Phone
(734) 761-9233
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Carol Bennett, MSW, LMSW
Title
Psychotherapist
Phone
(734) 218-0979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6802064924 MI Primary

Addresses

Primary practice location

2301 Packard St
Ann Arbor, MI 48104-6321

Mailing address

2301 Packard St
Ann Arbor, MI 48104-6321
Phone (734) 761-9233

National Provider Directory

National Provider Directory

Locations

2301 Packard St
Ann Arbor, MI 48104
Phone (734) 761-9233

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1598092553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046321",
            "telephone_number": "734-761-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PACKARD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046321",
            "telephone_number": "734-761-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN ARBOR CENTER FOR GROUPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "734-218-0979",
        "authorized_official_credential": "MSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802064924",
            "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 Nov 12, 2009; 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.