Ananeshia Dubose
Social Worker, Clinical in Grosse Pointe Park, MI. Individual provider (NPI-1).
NPI number1245939677
StatusActive
Last updated in NPPESFeb 24, 2023
Details
- NPI
- 1245939677
- Entity type
- Individual (NPI-1)
- Name
- Ananeshia Dubose
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 24, 2023
- Certification date
- Feb 24, 2023
- Last updated
- Feb 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
15001 Kercheval Ave Ste 299Grosse Pointe Park, MI 48230-1361
Phone 586-393-9710
Mailing address
15001 Kercheval Ave Ste 299Grosse Pointe Park, MI 48230-1361
Phone 586-393-9710
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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