FANTA WAFER
NPI 1174108369
Social Worker - Clinical in Ann Arbor, MI

Active since March 10, 2021
1540 E HOSPITAL DR, ANN ARBOR, MI 48109(734) 763-6120 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fanta Wafer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FANTA WAFER (NPI 1174108369) is an individual clinical provider in Ann Arbor, Michigan and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174108369
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameFANTA WAFER
Location Address1540 E HOSPITAL DRAnn Arbor, MI 48109-4000
Mailing Address1540 E Hospital DrAnn Arbor, MI 48109-4000
Sole ProprietorNo
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1174108369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1540 E HOSPITAL DR, Ann Arbor, MI 48109

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1540 E HOSPITAL DR
ANN ARBOR, MI 48109
Pediatrics
1540 E HOSPITAL DR
ANN ARBOR, MI 48109
Pediatrics (Pediatric Cardiology)
1540 E HOSPITAL DR, CW 11-701 SPC 4204
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1540 E HOSPITAL DR
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1540 E HOSPITAL DR
ANN ARBOR, MI 48109
Anesthesiology
1540 E HOSPITAL DR
ANN ARBOR, MI 48109
Pediatrics (Pediatric Cardiology)
1540 E HOSPITAL DR
ANN ARBOR, MI 48109
Anesthesiology
1540 E HOSPITAL DR
ANN ARBOR, MI 48109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fanta Wafer's NPI number?

The NPI number for Fanta Wafer is 1174108369. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Fanta Wafer located?

Fanta Wafer practices at 1540 E Hospital Dr, Ann Arbor, MI 48109. The listed phone number is (734) 763-6120.

What is Fanta Wafer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Fanta Wafer was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.