Individual provider Active NPI

Anne C McInnis, LMSW

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1740356740
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801117439 Issued in MI
Practice address
7300 Dixie Hwy Ste 1000
Clarkston, MI 48346-5105
Phone
(517) 882-3732
Fax
(517) 882-3633
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7222123 WI
Clinical Social Worker 1041C0700X 6801117439 MI Primary

Addresses

Primary practice location

7300 Dixie Hwy Ste 1000
Clarkston, MI 48346-5105

Mailing address

7300 Dixie Hwy Ste 1000
Clarkston, MI 48346-5105
Phone (517) 882-3732

Other practice location 1

16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Phone (262) 789-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070207000020 WI Practitioner - Clinical Social Worker 4789686635 Reassigns benefits to 1 organization
I20240322003212 MI Practitioner - Clinical Social Worker 4789686635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

16535 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5906
Phone (262) 789-1191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7222123WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Mar 18, 2024 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Aug 11, 2021 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Mar 18, 2024 Accepting new patients
Cary J Kohlenberg MD SC Past Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

7300 Dixie Hwy
Ste 1000
Clarkston, MI 48346
Phone (248) 394-3739

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.annemcinnis@149809.advancedmd-direct.com

Organizations & group practices 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1740356740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 1000",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465105",
            "telephone_number": "517-882-3732",
            "fax_number": "517-882-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DIXIE HWY STE 1000",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465105",
            "telephone_number": "517-882-3732",
            "fax_number": "517-882-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16535 W Bluemound Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055906",
            "country_code": "US",
            "telephone_number": "262-789-1191",
            "fax_number": "517-882-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "ANNE",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7222123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801117439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.