NPIMap

Organization Active NPI

The Women's Center of Southeastern Michigan

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1598167371
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801080546 Issued in MI
Legal business name
THE WOMEN'S CENTER OF SOUTHEASTERN MICHIGAN
Practice address
1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220
Phone
(734) 973-6779
NPI assigned
Sep 23, 2014
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Ms. Maureen E. Leavitt, LMSWNPI 1497175590
Title
Executive Director
Phone
(734) 973-6779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801080546 MI Primary

Addresses

Primary practice location

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

Mailing address

1100 Victors Way Ste 10
Ann Arbor, MI 48108-5220
Phone (734) 973-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150602002239 MI Part B Supplier - Clinic/Group Practice 7618298696 Receives reassigned benefits from 12 practitioners
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

1100 Victors Way
Ste 10
Ann Arbor, MI 48108
Phone (734) 726-0253

510 S Maple Rd
Ann Arbor, MI 48103
Phone (734) 973-6779

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1598167371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMEN'S CENTER OF SOUTHEASTERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-973-6779",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080546",
            "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 Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.