Individual provider Active NPI

Mary Bandfield, LMSW, AASW

  • Social Worker
  • Mason, MI
National Provider Identifier
1063936656
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801097467 Issued in MI
Practice address
521 Okemos St
Mason, MI 48854-1224
Phone
(517) 325-9799
NPI assigned
Jul 26, 2017
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801097467 MI Primary
Clinical Social Worker 1041C0700X 6801097467 MI

Addresses

Primary practice location

521 Okemos St
Mason, MI 48854-1224

Mailing address

521 Okemos St
Mason, MI 48854-1224
Phone (517) 325-9979

Other names 1

  • Mary Bandfield Skene 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
I20200102002571 MI Practitioner - Clinical Social Worker 8123452992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097467MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Life Counseling and Consultation Services LLC Social Worker CurrentSince Jul 22, 2025 Accepting new patients
Jonathan M. Blair PHD, PLLC Past Accepting new patients
Oakland Psychological Clinic, P.C. Clinical PastSince Jan 26, 2022 Accepting new patients

Locations

521 Okemos St
Mason, MI 48854
Phone (517) 325-9799

Organizations & group practices 4

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1063936656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 OKEMOS ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541224",
            "telephone_number": "517-325-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 OKEMOS ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541224",
            "telephone_number": "517-325-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDFIELD",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LMSW, AASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801097467",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SKENE",
            "middle_name": "BANDFIELD",
            "credential": "LMSW, AASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.