Individual provider Active NPI

Maryann Meyers Johnson, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1689392839
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111133 Issued in MI
Practice address
715 Carbeck Dr
Ann Arbor, MI 48103-3409
Phone
(404) 375-9576
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 6801111133 MI Primary

Addresses

Primary practice location

715 Carbeck Dr
Ann Arbor, MI 48103-3409

Mailing address

715 Carbeck Dr
Ann Arbor, MI 48103-3409
Phone (404) 375-9576

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
6801111133MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meyers Johnson Psychotherapy PLLC Clinical CurrentSince Mar 11, 2025 Accepting new patients

Locations

117 N Division St
Ann Arbor, MI 48104
Phone (404) 375-9576

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1689392839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CARBECK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033409",
            "telephone_number": "404-375-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CARBECK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033409",
            "telephone_number": "404-375-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARYANN",
        "middle_name": "MEYERS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111133",
            "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 Aug 15, 2022; 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.