Individual provider Active NPI

Lori Ann Bush, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1639564909
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096561 Issued in MI
Practice address
2385 S Huron Pkwy
Suite 2N
Ann Arbor, MI 48104-5171
Phone
(734) 646-1505
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801096561 MI Primary

Addresses

Primary practice location

2385 S Huron Pkwy
Suite 2N
Ann Arbor, MI 48104-5171

Mailing address

2385 S Huron Pkwy
Suite 2N
Ann Arbor, MI 48104-5171
Phone (734) 646-1505

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
I20240221003088 MI Practitioner - Clinical Social Worker 0648614347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2385 S Huron Pkwy
Suite 2N
Ann Arbor, MI 48104-5127
Phone (734) 725-8459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Path to Resilience LLC Clinical CurrentSince Dec 19, 2023 Accepting new patients

Locations

2385 S Huron Pkwy
Ste 2N
Ann Arbor, MI 48104
Phone (734) 255-8082

Organizations & group practices 1

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1639564909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY",
            "address_2": "SUITE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045171",
            "telephone_number": "734-646-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 S HURON PKWY",
            "address_2": "SUITE 2N",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045171",
            "telephone_number": "734-646-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.