Individual provider Active NPI

Cecily Doran Garrity, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1972695187
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801073757 Issued in MI
Practice address
1306 Gardner Ave
Ann Arbor, MI 48104-4323
Phone
(734) 769-7100
Fax
(734) 769-7416
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 6801073757 MI Primary

Addresses

Primary practice location

1306 Gardner Ave
Ann Arbor, MI 48104-4323

Mailing address

1306 Gardner Ave
Ann Arbor, MI 48104-4323
Phone (734) 255-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MA2 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
I20141013000664 MI Practitioner - Clinical Social Worker 1557581683 Practice locations: Ann Arbor, MI
I20251013000791 MA Practitioner - Clinical Social Worker 1557581683 Practice locations: Arlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Mt Vernon St
Apt 2
Arlington, MA 02476-4629
Phone (734) 255-4061

413 Kenway Dr
Lansing, MI 48917-3040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801073757MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1972695187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 GARDNER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044323",
            "telephone_number": "734-255-4061",
            "fax_number": "734-769-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 GARDNER AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044323",
            "telephone_number": "734-769-7100",
            "fax_number": "734-769-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "CECILY",
        "middle_name": "DORAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.