Provider Demographics
NPI:1568835197
Name:SHIBLEY, ANN MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:SHIBLEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARIE
Other - Last Name:CHRISTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2014 N SAGINAW RD # 204
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6614
Mailing Address - Country:US
Mailing Address - Phone:989-941-6006
Mailing Address - Fax:989-702-2312
Practice Address - Street 1:2707 ASHMAN ST STE 102
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4449
Practice Address - Country:US
Practice Address - Phone:989-941-6006
Practice Address - Fax:989-702-2312
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011010881041C0700X
MI68011095971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical