Individual provider Active NPI

Mary Hebdon, LLMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1073086120
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097096 Issued in MI
Practice address
913 W Holmes Rd Ste 200
Lansing, MI 48910-0426
Phone
(517) 887-0226
Fax
(517) 887-8121
NPI assigned
Jan 10, 2019
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 6801097096 MI Primary

Addresses

Primary practice location

913 W Holmes Rd Ste 200
Lansing, MI 48910-0426

Mailing address

6380 Pine Hollow Dr
East Lansing, MI 48823-9726
Phone (517) 599-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801097096MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Recovery Services, Inc. Past Accepting new patients

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": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1073086120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 PINE HOLLOW DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239726",
            "telephone_number": "517-599-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W HOLMES RD STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489100426",
            "telephone_number": "517-887-0226",
            "fax_number": "517-887-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBDON",
        "first_name": "MARY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.