Healthcare Provider Details

I. General information

NPI: 1295468403
Provider Name (Legal Business Name): ANNA MARIE EDWARDS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 HOGBACK RD
ANN ARBOR MI
48105-9738
US

IV. Provider business mailing address

46265 BEMIS RD
SUMPTER TOWNSHIP MI
48111-8867
US

V. Phone/Fax

Practice location:
  • Phone: 734-674-7579
  • Fax: 734-357-0771
Mailing address:
  • Phone: 734-478-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: