Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083096879 Individual Practitioner Female Practitioner

Caryette Fenner , LBSW, QIDP

Social Worker • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Caryette Fenner, LBSW, QIDP is a registered healthcare professional specializing in Social Worker in Ann Arbor, MI. Practice services are available at 2140 E ELLSWORTH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2140 E Ellsworth Rd

Ann Arbor, MI 481082552

Telephone 7342223433
Fax 7342223461
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.8 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
378 Specialists

Practicing in Ann Arbor, MI (9360 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6802081466

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Michigan Department Of Licensing And Regulatory Affairs
6802081466 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laura Goins , SWT

Social Worker

NPI 1023136579
NPI 1033083803

Limited Licensed Master Social Worker

Silmore Ruffin , RN

Registered Nurse

NPI 1063534915

Registered Nurse

NPI 1073631669
NPI 1104948090

Bachelor of Social Work, SWT, QMRP

Wendy Price , BSW

Social Worker

NPI 1144348772

Bachelor of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2015

Registered at 2140 E ELLSWORTH RD, ANN ARBOR, MI 481082552 (Tel: 7342223433)

📍
Updated Business Mailing Address June 29, 2015

Registered at 555 TOWNER ST, P.O. BOX 915, YPSILANTI, MI 481985752 (Tel: 7345443000)

👤
Provider Name / Credentials Updated June 29, 2015

Recorded as CARYETTE FENNER, LBSW, QIDP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2015

Social Worker (License #6802081466 in MI)

🟢
Initial NPI Registration & Enumeration June 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083096879
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2015
Last Update: June 29, 2015
Sole Proprietor: No

Mailing Address

555 Towner St, P.o. Box 915

Ypsilanti, MI 481985752

Phone: 7345443000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.