Active NPI
Daniela Amdur Wittmann, PHD, MSW
- Social Worker
- Ann Arbor, MI
National Provider Identifier
1669415295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801017288
- Practice address
- 1500 E Medical Center Drive
B1 Floor Cancer and Geriatric Center Rec C
Ann Arbor, MI 48109-5913 - Phone
- (734) 647-8903
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801017288 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Drive
B1 Floor Cancer and Geriatric Center Rec C
Ann Arbor, MI 48109-5913
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801017288 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1669415295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DRIVE",
"address_2": "B1 FLOOR CANCER AND GERIATRIC CENTER REC C",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095913",
"telephone_number": "734-647-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTMANN",
"first_name": "DANIELA",
"middle_name": "AMDUR",
"name_prefix": "Dr.",
"credential": "PHD, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801017288",
"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 Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.