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

Individual provider Specialist · NPI 1588994107

Bethany Ponichter is a Specialist in Ann Arbor, Michigan. Practices as a sole proprietor and works from 3 locations. Licensed in Michigan and Oregon.

Licensed in
MI, OR
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

343 S Main St Ste 209B
Ann Arbor, MI 48104-2137
Phone: (248) 259-8540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2350 Washtenaw Ave Ste 4, Ann Arbor, MI 48104 — (734) 645-8944
  • 511 Sw 10th Ave, Portland, OR 97205 — (503) 224-6800

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801098351 (MI)
Specialist Taxonomy 174400000X · Licence 16241 (OR)

Record details

NPI number1588994107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 4, 2010
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

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