Individual provider Active NPI

Mary L Harwood, LMSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1073285078
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090046 Issued in MI
Practice address
445 E State St
Traverse City, MI 49686-2603
Phone
(231) 346-5216
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 6801090046 MI Primary

Addresses

Primary practice location

445 E State St
Traverse City, MI 49686-2603

Mailing address

1000 S Garfield Ave
Traverse City, MI 49686-2404
Phone (231) 346-5239

Other practice location 1

4230 Copper Ridge Dr
Traverse City, MI 49684-7256
Phone (231) 935-6380

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
I20240719002298 MI Practitioner - Clinical Social Worker 3173069648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, shared by 12 NPIs, 377 clinicians

Practice addresses (Care Compare)

4230 Copper Ridge Dr
Traverse City, MI 49684-7256
Phone (231) 935-6380

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090046MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince May 23, 2024 Accepting new patients
Munson Medical Center CurrentSince May 23, 2024 Accepting new patients
Addiction Treatment Services, Inc CurrentSince Aug 3, 2024 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince May 23, 2024 Accepting new patients
Addiction Treatment Services, Inc. Clinical CurrentSince Aug 3, 2024 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

4230 Copper Ridge Dr
Traverse City, MI 49684
Phone (231) 935-6380

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1010 S Garfield Ave
Traverse City, MI 49686
Phone (231) 346-5216

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1073285078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862404",
            "telephone_number": "231-346-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E STATE ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862603",
            "telephone_number": "231-346-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Copper Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847256",
            "country_code": "US",
            "telephone_number": "231-935-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.