Individual provider Active NPI

Katherine Page Sander, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1699171280
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081287 Issued in MI
Practice address
1575 Alexandra Blvd
Ann Arbor, MI 48103-2374
Phone
(734) 497-7396
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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 6801081287 MI Primary

Addresses

Primary practice location

1575 Alexandra Blvd
Ann Arbor, MI 48103-2374

Mailing address

1575 Alexandra Blvd
Ann Arbor, MI 48103-2374
Phone (734) 497-7396

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
6801081287MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1699171280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 ALEXANDRA BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032374",
            "telephone_number": "734-497-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 ALEXANDRA BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032374",
            "telephone_number": "734-497-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE SANDER",
        "first_name": "KATHERINE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081287",
            "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 Nov 10, 2014; 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.