Mary Mooney Grettenberger

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801115354 Issued in MI

Practice address

51145 Washington St Ste H
New Baltimore, MI 48047-2100

Phone

(586) 307-4659

NPI assigned

Aug 25, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dove of Peace Christian Counseling PLLC

  • Mental Health Counselor
  • New Baltimore, MI
  • NPI 1225746969
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1013520550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480050455",
            "telephone_number": "158-644-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51145 WASHINGTON ST STE H",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480472100",
            "telephone_number": "586-307-4659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18475 Pratt Rd",
            "address_purpose": "LOCATION",
            "city": "Armada",
            "state": "MI",
            "postal_code": "480051152",
            "country_code": "US",
            "telephone_number": "586-443-1834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRETTENBERGER",
        "first_name": "MARY",
        "middle_name": "MOONEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genuine Care, Inc.
• Gary Lloyd Glesser, D.D.S.
• Kaylee Jayde Glew, LMSW
• Harry Godlewski Jr., R.PH.
• Christopher Canfield Green, M.D., PHD, FAAFS
• Brendan Harms
• Noelle R Harris
• Rosanne Marie Hartman, DDS
• Jeffrey R Hayes, DO
• Daniel Hodor, DPM

• Clinical Social Worker in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.