Active NPI
Susan Davenport-Geer, LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1629275144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801020189
- Practice address
- 111 N 1St St
Ann Arbor, MI 48104-1397 - Phone
- (734) 572-9837
- NPI assigned
- Jun 28, 2007
- 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 | 6801020189 | MI | Primary |
Addresses
Primary practice location
111 N 1St St
Ann Arbor, MI 48104-1397
Mailing address
111 N 1St St
Ann Arbor, MI 48104-1397
Phone (734) 572-9837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37040 | Medicaid | MI |
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 |
|---|---|---|---|
| 6801020189 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629275144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 1ST ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041397",
"telephone_number": "734-572-9837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 1ST ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041397",
"telephone_number": "734-572-9837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT-GEER",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801020189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37040",
"state": "MI"
}
],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.