Individual provider Active NPI

Anita Rubin-Meiller, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1689722423
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801046564 Issued in MI
Practice address
1817 W Stadium Blvd Ste H
Ann Arbor, MI 48103-4577
Phone
(734) 255-2619
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 6801046564 MI Primary

Addresses

Primary practice location

1817 W Stadium Blvd Ste H
Ann Arbor, MI 48103-4577

Mailing address

1817 W Stadium Blvd Ste H
Ann Arbor, MI 48103-4577
Phone (734) 255-2619

Other identifiers 1

IdentifierTypeStateIssuer
8008952600OtherMIBLUE CROSS

Other names 1

  • Ms. Anita Sue Rubin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000153 MI Practitioner - Clinical Social Worker 9032380167 Practice locations: Ann Arbor, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1817 W Stadium
Suite H
Ann Arbor, MI 48103-5048
Phone (734) 255-2619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1689722423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 W STADIUM BLVD STE H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034577",
            "telephone_number": "734-255-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W STADIUM BLVD STE H",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034577",
            "telephone_number": "734-255-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN-MEILLER",
        "first_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8008952600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "RUBIN",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.