Roxann Mudry, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801099971 Issued in MI

Practice address

120 E Liberty St Ste 210
Ann Arbor, MI 48104-2156

Phone

(734) 335-4747

NPI assigned

Jul 8, 2015

Sex

Female

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

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renew Therapeutic Solutions, PLLCGroup PAC ID 0749521342, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renew Therapeutic Solutions, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1902362502
  Medicare reassignment Care Compare group NPD Authorized official
• Rfmudry Behavioral Health, PLLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1033689773
  NPD Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1861875817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 MARTIN ST",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481869393",
            "telephone_number": "734-657-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E LIBERTY ST STE 210",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042156",
            "telephone_number": "734-335-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDRY",
        "first_name": "ROXANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Mu
• Emile Basem Muallem, MD
• Sari Muallem
• Anthony Joseph Mucciante
• Sharon Ann Mudd, NP
• Pride Tawanda Mudzwova, CRNA
• Alison Muehlman
• Christina Mueller Flaherty, M.D.
• Austin Mueller, MD
• Brianne Mueller

• 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 Feb 19, 2019; 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.

Verify at the official NPI Registry.