Healthcare Provider Details

I. General information

NPI: 1487928966
Provider Name (Legal Business Name): JOSHUA ABLITZ LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4350 JACKSON ROAD STE 300
ANN ARBOR MI
48103
US

IV. Provider business mailing address

24 FRANK LLOY WRIGHT DRIVE STE J2000
ANN ARBOR MI
48105
US

V. Phone/Fax

Practice location:
  • Phone: 800-777-3166
  • Fax: 800-279-1076
Mailing address:
  • Phone: 734-747-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801094012
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: