Individual provider Active NPI

Macey Garrido

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1053986489
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121993 Issued in MI
Practice address
17100 Silver Pkwy Ste D
Fenton, MI 48430-3468
Phone
(810) 208-0378
Fax
(810) 963-1917
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121993 MI Primary

Addresses

Primary practice location

17100 Silver Pkwy Ste D
Fenton, MI 48430-3468

Mailing address

17100 Silver Pkwy Ste D
Fenton, MI 48430-3468
Phone (810) 208-0378

Other names 1

  • Macey Clements Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260429003751 MI Practitioner - Clinical Social Worker 8628545357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health, LLCGroup PAC ID 0143768689, 6 clinicians

Practice addresses (Care Compare)

14229 Torrey Rd
Suite 3
Fenton, MI 48430-3308
Phone (810) 208-0378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121993MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health LLC Clinical CurrentSince Apr 1, 2026 Accepting new patients
The Traini Counseling Group P.C. Clinical CurrentSince Jun 22, 2021 Accepting new patients

Locations

17100 Silver Pkwy
Ste D
Fenton, MI 48430
Phone (810) 208-0378

14229 Torrey Rd
#3
Fenton, MI 48430
Phone (810) 208-0378

1170 Charter Dr
Ste B
Flint, MI 48532
Phone (810) 820-4533

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1053986489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 SILVER PKWY STE D",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303468",
            "telephone_number": "810-208-0378",
            "fax_number": "810-963-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 SILVER PKWY STE D",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303468",
            "telephone_number": "810-208-0378",
            "fax_number": "810-963-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIDO",
        "first_name": "MACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACEY",
            "last_name": "CLEMENTS",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.