Active NPI
Joshua Costa, LLMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1811601917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851115979
- Practice address
- 501 N Maple Rd
Ann Arbor, MI 48103-2827 - Phone
- (800) 395-3223
- NPI assigned
- Jan 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851115979 | MI | Primary |
Addresses
Primary practice location
501 N Maple Rd
Ann Arbor, MI 48103-2827
Mailing address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (800) 395-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10750 Lola Dr
Jerome, MI 49249-9549
2820 Baker Rd
Suite 100
Dexter, MI 48130-1196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851115979 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1811601917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6549 TOWN CENTER DR STE A",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483464824",
"telephone_number": "800-395-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N MAPLE RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481032827",
"telephone_number": "800-395-3223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "JOSHUA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851115979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
- Hannah Jane Cory, MPH, RD
- Atticus Christian Coscia
- Sarah Cosgrove
- Celica Glenn Quebral Cosme, MD
- Amanda Spirandelli Costa, MD
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- Costco Wholesale Corporation (Costco Optical #1106)
- Joseph Anthony Costello III
- Alexandria Hayes Cotner, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.