Mary Schiller, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851106409 Issued in MI

Practice address

1000 Hastings St
Traverse City, MI 49686-3445

Phone

(231) 947-8110

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Ann Beaudry Former name

Electronic endpoints 2

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Human Services, IncGroup PAC ID 4880586494, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Human Services, Inc

  • Mental Health Counselor
  • Traverse City, MI
  • NPI 1497716047

  MI

  Medicare reassignment Care Compare group NPD
• Catholic Human Services Inc.

  • Community/Behavioral Health Agency
  • Gaylord, MI
  • NPI 1508060682
  NPD
• Catholic Charities of Michigan Incorporated

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1528117744
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1194459537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HASTINGS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863445",
            "telephone_number": "231-947-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HASTINGS ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863445",
            "telephone_number": "231-947-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "MARY",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851106409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschiller@catholichumanservices.org",
            "affiliation": "N",
            "address_1": "1000 Hastings St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496863445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mschiller@catholichumanservices.org",
            "affiliation": "N",
            "address_1": "1000 Hastings St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496863445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BEAUDRY",
            "middle_name": "ANN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Carll Schermerhorn, M.D.
• Joshua James Schexnaildre, CRNA
• Nicholas Traian Schileru, DO
• Bradley James Schiller, D.C.
• Lori F Schiller, N.P.
• Ryan Schiller, ATC
• Sarah E Schin, M.A., CCC-SLP
• Sean James Schirripa, DPT,PT
• Susanna Cathryn Schlarf, LMSW
• Rachel Schleenbaker, FNP-C

• All providers in Traverse City, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.

Verify at the official NPI Registry.