Marisa Bowie

Individual provider Active NPI Clinical Social Worker · Harrison, MI

NPI 1124518022 · NPPES record last updated May 16, 2018

Key facts

NPI
1124518022
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801102434 (MI)
Practice address
789 N Clare Ave
Harrison, MI 48625-8250
Phone
(989) 539-2141
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Today Counseling and Consulting LLC (27 clinicians)

Practice addresses (Care Compare)

4572 S Hagadorn Rd
East Lansing, MI 48823-5385
Phone (517) 481-2133

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 IDStateProvider typePAC IDDetails
I20201104000629 MI Practitioner - Clinical Social Worker 2668882531 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6801102434MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Today Counseling and Consulting, LLC Clinical Current
since Oct 21, 2020
Accepting new patients

Locations

4572 S Hagadorn Rd
Ste 1C
East Lansing, MI 48823
Phone (517) 481-2133

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801102434 MI Yes

Addresses

Primary practice location

789 N Clare Ave
Harrison, MI 48625-8250

Mailing address

7955 Shadybrook Dr SE
Ada, MI 49301-9305
Phone (616) 648-8384

Other providers in Harrison, MI

All providers in Harrison, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.