Individual provider Active NPI

Lori Ann Driver, LMSW, ACSW

  • Mental Health Counselor
  • Ann Arbor, MI
National Provider Identifier
1962581389
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801066884 Issued in MI
Practice address
3830 Packard St Ste 250
Ann Arbor, MI 48108-2273
Phone
(734) 975-2757
Fax
(734) 975-2909
NPI assigned
Nov 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801066884 MI Primary

Addresses

Primary practice location

3830 Packard St Ste 250
Ann Arbor, MI 48108-2273

Mailing address

3830 Packard St Ste 250
Ann Arbor, MI 48108-2273
Phone (734) 975-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110907001328 MI Practitioner - Clinical Social Worker 5092985762 Reassigns benefits to 1 organization
I20210922002294 IL Practitioner - Clinical Social Worker 5092985762 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)

28379 Davis Pkwy
Suite 801
Warrenville, IL 60555-3032
Phone (734) 975-2757

352 N Main St
Suite 4B
Plymouth, MI 48170-1270
Phone (734) 975-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801066884MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lori Ann Driver LLC CurrentSince Jun 11, 2012 Accepting new patients

Locations

28379 Davis Pkwy
Ste 801
Warrenville, IL 60555
Phone (630) 393-9800

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

352 N Main St
Ste 4B
Plymouth, MI 48170
Phone (734) 656-8249

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962581389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082273",
            "telephone_number": "734-975-2757",
            "fax_number": "734-975-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 250",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082273",
            "telephone_number": "734-975-2757",
            "fax_number": "734-975-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801066884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.