Individual provider Active NPI

Marie Amena Marolf, ACSW LMSW CAAC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1710144373
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033655 Issued in MI
Practice address
2008 Hogback Rd
Suite #8
Ann Arbor, MI 48105
Phone
(734) 786-4900
Fax
(734) 786-8051
NPI assigned
May 21, 2008
Last updated
May 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 810349 MI
Clinical Social Worker 1041C0700X 6801033655 MI Primary

Addresses

Primary practice location

2008 Hogback Rd
Suite #8
Ann Arbor, MI 48105

Mailing address

2008 Hogback Rd
Suite #8
Ann Arbor, MI 48105
Phone (734) 786-4900

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
810349MIMDAddiction (Substance Use Disorder) Counselor
6801033655MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1710144373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 HOGBACK RD",
            "address_2": "SUITE #8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-786-4900",
            "fax_number": "734-786-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 HOGBACK RD",
            "address_2": "SUITE #8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-786-4900",
            "fax_number": "734-786-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROLF",
        "first_name": "MARIE",
        "middle_name": "AMENA",
        "name_prefix": "Ms.",
        "credential": "ACSW LMSW CAAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "810349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033655",
            "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 May 21, 2008; 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.