Individual provider Active NPI

Mary Ann Geiser Weber, LMSW

  • Clinical Social Worker
  • Three Rivers, MI
National Provider Identifier
1164703229
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801084362 Issued in MI
Practice address
59554 County Line Rd # 2
Three Rivers, MI 49093-9218
Phone
(269) 313-5095
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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 6801084362 MI Primary

Addresses

Primary practice location

59554 County Line Rd # 2
Three Rivers, MI 49093-9218

Mailing address

27432 US Highway 20
South Bend, IN 46628-4543
Phone (269) 313-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251205000521 IN Practitioner - Clinical Social Worker 1759874902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Ferry St
Suite B
Lafayette, IN 47901-1172

27432 US Hwy 20
South Bend, IN 46628-4543

320 Fernleaf Dr
West Lafayette, IN 47906-2126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801084362MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Care, LLC Clinical CurrentSince Oct 2, 2025 Accepting new patients
Unity Healthcare LLC PastSince Oct 2, 2025 Accepting new patients

Locations

200 Ferry St
Ste B
Lafayette, IN 47901
Phone (765) 268-0183

Organizations & group practices 2

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": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1164703229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27432 US HIGHWAY 20",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466284543",
            "telephone_number": "269-313-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59554 COUNTY LINE RD # 2",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939218",
            "telephone_number": "269-313-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MARY ANN",
        "middle_name": "GEISER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.