Jacob Foster, LLMSW CANDIDATE

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

514 E William St Ste D
Ann Arbor, MI 48104-2446

Phone

(616) 304-5059

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1790465409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 BROADWAY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051810",
            "telephone_number": "616-304-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E WILLIAM ST STE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042446",
            "telephone_number": "616-304-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JACOB",
        "credential": "LLMSW CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Lynn Fossum
• Tasia Foster-Moten
• Andrea Foster
• Carlton J Foster, O.D.
• Catherine L. Foster, MD
• Katelyn Foster
• Katherine Foster, B.A.
• Kelly Charice Foster, LPC
• Shari Ann Foster, LMSW
• Fostering Futures

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.