Mary Bandfield, LMSW, AASW
Individual provider Active NPI Social Worker · Mason, MI
NPI 1063936656 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1063936656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801097467 (MI)
- Practice address
- 521 Okemos St
Mason, MI 48854-1224 - Phone
- (517) 325-9799
- NPI assigned
- Jul 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200102002571 | MI | Practitioner - Clinical Social Worker | 8123452992 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097467 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Life Counseling and Consultation Services LLC | Social Worker | Current |
Accepting new patients |
| Jonathan M. Blair PHD, PLLC | Past | Accepting new patients | |
| Oakland Psychological Clinic, P.C. | Clinical | Past |
Accepting new patients |
Locations
521 Okemos St
Mason, MI 48854
Phone (517) 325-9799
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801097467 | MI | |
| Social Worker |
104100000X | 6801097467 | MI | Yes |
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
- Mary Bandfield Skene
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.