Individual provider Active NPI

Anti'Shay Thurman, LLMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1881300390
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851109419 Issued in MI
Practice address
2835 S Wagner Rd Unit 128
Ann Arbor, MI 48103-9734
Phone
(313) 208-4069
NPI assigned
Jan 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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 6851109419 MI Primary

Addresses

Primary practice location

2835 S Wagner Rd Unit 128
Ann Arbor, MI 48103-9734

Mailing address

2835 S Wagner Rd Unit 128
Ann Arbor, MI 48103-9734
Phone (313) 208-4069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • 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
I20250424002203 MI Practitioner - Clinical Social Worker 9537685342 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851109419MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Presutti LLC Clinical CurrentSince Mar 27, 2025 Accepting new patients

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": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1881300390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 S WAGNER RD UNIT 128",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039734",
            "telephone_number": "313-208-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 S WAGNER RD UNIT 128",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039734",
            "telephone_number": "313-208-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ANTI'SHAY",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.