Organization Active NPI

Enabling Awesome PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1679288468
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ENABLING AWESOME PLLC
Practice address
2311 Shelby Ave Ste 101B
Ann Arbor, MI 48103-3849
Phone
(734) 489-9499
NPI assigned
Jan 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Jose Jimenez, LMSWNPI 1225790207
Title
Owner
Phone
(734) 489-9499

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2311 Shelby Ave Ste 101B
Ann Arbor, MI 48103-3849

Mailing address

2311 Shelby Ave Ste 101B
Ann Arbor, MI 48103-3849

National Provider Directory

National Provider Directory

Locations

2311 Shelby Ave
Ste 101B
Ann Arbor, MI 48103
Phone (734) 489-9499

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": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1679288468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE STE 101B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE STE 101B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-489-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENABLING AWESOME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-489-9499",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jan 17, 2023; 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.