Active NPI
Carol Ann Lee, LLMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1851080568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851116295
- Practice address
- 230 Collingwood St Ste 250
Ann Arbor, MI 48103-3845 - Phone
- (248) 581-8777
- Fax
- (888) 975-9374
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 6851116295 | MI | Primary |
Addresses
Primary practice location
230 Collingwood St Ste 250
Ann Arbor, MI 48103-3845
Mailing address
23231 Woodward Ave
Ferndale, MI 48220-1361
Phone (248) 581-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851116295 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairsky Foundation | Clinical | Current | Accepting new patients |
Locations
230 Collingwood St
Ste 250
Ann Arbor, MI 48103
Phone (248) 325-8199
23231 Woodward Ave
Ferndale, MI 48220
Phone (248) 565-6556
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": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1851080568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23231 WOODWARD AVE",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201361",
"telephone_number": "248-581-8777",
"fax_number": "888-975-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 COLLINGWOOD ST STE 250",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481033845",
"telephone_number": "248-581-8777",
"fax_number": "888-975-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851116295",
"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 May 8, 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.