Individual provider Active NPI

Teri A Grody, LMSW

  • Clinical Social Worker
  • Mancelona, MI
National Provider Identifier
1063926277
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801103785 Issued in MI
Practice address
2514 Valley Rd
Mancelona, MI 49659-9344
Phone
(231) 676-0889
NPI assigned
Nov 27, 2017
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099139 MI
Clinical Social Worker 1041C0700X 6801103785 MI Primary

Addresses

Primary practice location

2514 Valley Rd
Mancelona, MI 49659-9344

Mailing address

2514 Valley Rd
Mancelona, MI 49659-9344
Phone (231) 676-0889

Other names 1

  • Teri A Lamia 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
I20180124000187 MI Practitioner - Clinical Social Worker 7012276843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2514 Valley Rd
Mancelona, MI 49659-9344
Phone (231) 676-0889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099139MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upnorth Brighter Days Counseling LLC Single Specialty CurrentSince Feb 15, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: teri.grody.p1@direct.ejfhc.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1063926277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 VALLEY RD",
            "city": "MANCELONA",
            "state": "MI",
            "postal_code": "496599344",
            "telephone_number": "231-676-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 VALLEY RD",
            "city": "MANCELONA",
            "state": "MI",
            "postal_code": "496599344",
            "telephone_number": "231-676-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODY",
        "first_name": "TERI",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "LAMIA",
            "middle_name": "A",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mancelona, MI

Sources for this page

Verify at the official NPI Registry.