Individual provider Active NPI

Amber Nicole Hughson, LLMSW

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1649081498
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851119271 Issued in MI
Practice address
3150 Packard Rd
Ypsilanti, MI 48197-1994
Phone
(248) 581-8777
Fax
(888) 975-9374
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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 6851119271 MI Primary

Addresses

Primary practice location

3150 Packard Rd
Ypsilanti, MI 48197-1994

Mailing address

2710 Cumberland Ave
Ann Arbor, MI 48104-6520
Phone (248) 245-5505

Other names 1

  • Luna Hughson Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851119271MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fairsky Foundation Clinical PastSince May 16, 2016 Accepting new patients

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1649081498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 CUMBERLAND AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046520",
            "telephone_number": "248-245-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971994",
            "telephone_number": "248-581-8777",
            "fax_number": "888-975-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHSON",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUNA",
            "last_name": "HUGHSON",
            "credential": "LLMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.