Organization Active NPI

Lori Ann Driver LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1750655262
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066884 Issued in MI
Legal business name
LORI ANN DRIVER LLC
Practice address
3830 Packard Road Suite 250
Ann Arbor, MI 48108-2757
Phone
(734) 975-2757
Fax
(734) 975-2909
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Lori A Driver, LMSWNPI 1962581389
Title
LMSW
Phone
(734) 975-2757

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801066884 MI Primary

Addresses

Primary practice location

3830 Packard Road Suite 250
Ann Arbor, MI 48108-2757

Mailing address

3830 Packard Road Suite 250
Ann Arbor, MI 48108-2757
Phone (734) 975-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120611000594 MI Part B Supplier - Clinic/Group Practice 6103080775 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI
O20210922002135 IL Part B Supplier - Clinic/Group Practice 6103080775 Receives reassigned benefits from 1 practitioner
Practice locations: Warrenville, IL

National Provider Directory

National Provider Directory

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": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1750655262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ROAD SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082757",
            "telephone_number": "734-975-2757",
            "fax_number": "734-975-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ROAD SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082757",
            "telephone_number": "734-975-2757",
            "fax_number": "734-975-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI ANN DRIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "734-975-2757",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066884",
            "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 Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.