Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ananeshia Dubose

Individual provider Clinical Social Worker · NPI 1245939677

Ananeshia Dubose is a Clinical Social Worker in Grosse Pointe Park, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

15001 Kercheval Ave Ste 299
Grosse Pointe Park, MI 48230-1361
Phone: (586) 393-9710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1245939677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 24, 2023
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing address15001 Kercheval Ave Ste 299, Grosse Pointe Park, MI 48230-1361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Grosse Pointe Park