Individual provider Active NPI

Patricia Marie Fero, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1841475654
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801059658 Issued in MI
Practice address
3830 Packard St
Suite 250
Ann Arbor, MI 48108-2051
Phone
(734) 973-0817
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801059658 MI Primary

Addresses

Primary practice location

3830 Packard St
Suite 250
Ann Arbor, MI 48108-2051

Mailing address

3830 Packard St
Suite 250
Ann Arbor, MI 48108-2051
Phone (734) 973-0817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000611 MI Practitioner - Clinical Social Worker 9335046747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3013 Williamsburg Rd
Ann Arbor, MI 48108-2025
Phone (734) 717-8384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Dynamics Inc CurrentSince Sep 5, 2003 Accepting new patients

Locations

3830 Packard St
Ste 250
Ann Arbor, MI 48108
Phone (734) 973-0817

Organizations & group practices 1

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1841475654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST",
            "address_2": "SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082051",
            "telephone_number": "734-973-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST",
            "address_2": "SUITE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082051",
            "telephone_number": "734-973-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERO",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.