Healthcare Provider Details

I. General information

NPI: 1619760774
Provider Name (Legal Business Name): ANNA HODGES OGINSKY LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 BRIGHTON LAKE RD
BRIGHTON MI
48116-1738
US

IV. Provider business mailing address

142 BRIGHTON LAKE RD
BRIGHTON MI
48116-1738
US

V. Phone/Fax

Practice location:
  • Phone: 810-844-1476
  • Fax:
Mailing address:
  • Phone: 810-844-1476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851119837
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: