Organization Active NPI

Branching Out Therapy Woodli Krutek Sole MBR

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1710729629
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRANCHING OUT THERAPY WOODLI KRUTEK SOLE MBR
Practice address
326 W Liberty St Ste 5
Ann Arbor, MI 48103-4341
Phone
(734) 210-1162
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Woodli Krutek, LMSWNPI 1396375721
Title
Owner and Therapist
Phone
(828) 242-2906

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

326 W Liberty St Ste 5
Ann Arbor, MI 48103-4341

Mailing address

326 W Liberty St Ste 5
Ann Arbor, MI 48103-4341
Phone (828) 242-2906

National Provider Directory

National Provider Directory

Locations

326 W Liberty St
Ste 5
Ann Arbor, MI 48103
Phone (734) 210-1162

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1710729629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W LIBERTY ST STE 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034341",
            "telephone_number": "828-242-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W LIBERTY ST STE 5",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034341",
            "telephone_number": "734-210-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHING OUT THERAPY WOODLI KRUTEK SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "KRUTEK",
        "authorized_official_first_name": "WOODLI",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "828-242-2906",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE 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 Jun 11, 2024; 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.