NPIMap

Organization Active NPI

Marley Gannon Pagel LMSW, Acsw, LLC

  • Point of Service
  • Saline, MI
National Provider Identifier
1083159545
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6801069842 Issued in MI
Legal business name
MARLEY GANNON PAGEL LMSW, ACSW, LLC
Practice address
474 Iris LN
Saline, MI 48176-9092
Phone
(734) 431-1776
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Ms. Marley G PagelNPI 1770564791
Title
Owner
Phone
(734) 431-1776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6801069842 MI Primary

Addresses

Primary practice location

474 Iris LN
Saline, MI 48176-9092

Mailing address

474 Iris LN
Saline, MI 48176-9092
Phone (734) 431-1776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1083159545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 IRIS LN",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769092",
            "telephone_number": "734-431-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 IRIS LN",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769092",
            "telephone_number": "734-431-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLEY GANNON PAGEL LMSW, ACSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "PAGEL",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-431-1776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "6801069842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.