Healthcare Provider Details

I. General information

NPI: 1114479631
Provider Name (Legal Business Name): ANN MICHAELS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN WAITE LBSW

II. Dates (important events)

Enumeration Date: 11/01/2016
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 WEISS ST
SAGINAW MI
48602-5251
US

IV. Provider business mailing address

1500 WEISS ST
SAGINAW MI
48602-5251
US

V. Phone/Fax

Practice location:
  • Phone: 989-497-2500
  • Fax: 989-321-4158
Mailing address:
  • Phone: 989-497-2500
  • Fax: 989-321-4158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801120461
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: