Active NPI
Mary Seguin
- Social Worker
- Troy, MI
National Provider Identifier
1134536618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801095875
- Practice address
- 888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762 - Phone
- (248) 244-8644
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801095875 | MI | Primary |
Addresses
Primary practice location
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Mailing address
888 W Big Beaver Rd Ste 1450
Troy, MI 48084-4762
Phone (248) 244-8644
Other practice location 1
4151 17 Mile Rd
Sterling Heights, MI 48310-6866
Phone (248) 244-8644 ext. 4138
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801095875 | MI | MD | Social Worker |
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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1134536618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 1450",
"city": "TROY",
"state": "MI",
"postal_code": "480844762",
"telephone_number": "248-244-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 W BIG BEAVER RD STE 1450",
"city": "TROY",
"state": "MI",
"postal_code": "480844762",
"telephone_number": "248-244-8644"
}
],
"practiceLocations": [
{
"address_1": "4151 17 Mile Rd",
"address_purpose": "LOCATION",
"city": "Sterling Heights",
"state": "MI",
"postal_code": "483106866",
"country_code": "US",
"telephone_number": "248-244-8644 x4138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGUIN",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801095875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.