Organization Active NPI

Rebecca Shriberg, LMSW LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1669147245
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REBECCA SHRIBERG, LMSW LLC
Practice address
1720 Timber TRL
Ann Arbor, MI 48103-2397
Phone
(734) 646-1724
NPI assigned
Aug 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Authorized official

Name
Rebecca ShribergNPI 1922243146
Title
Clinical Social Worker
Phone
(734) 646-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1720 Timber TRL
Ann Arbor, MI 48103-2397

Mailing address

1720 Timber TRL
Ann Arbor, MI 48103-2397
Phone (734) 646-1724

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628985600000",
    "number": "1669147245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 TIMBER TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032397",
            "telephone_number": "734-646-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 TIMBER TRL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032397",
            "telephone_number": "734-646-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA SHRIBERG, LMSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-15",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "SHRIBERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-646-1724"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "personal computing device",
            "address_1": "1720 Timber Trl",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481032397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 15, 2021; 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.