Active NPI
Demere James Garrett
- Social Worker
- Ecorse, MI
National Provider Identifier
1205717014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- G630139366497
- Practice address
- 3972 18TH St
Ecorse, MI 48229-1312 - Phone
- (248) 668-0922
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Sex
- Male
- 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 | G630139366497 | MI | Primary |
Addresses
Primary practice location
3972 18TH St
Ecorse, MI 48229-1312
Mailing address
3972 18TH St
Ecorse, MI 48229-1312
Phone (248) 668-0922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G630139366497 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1205717014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3972 18TH ST",
"city": "ECORSE",
"state": "MI",
"postal_code": "482291312",
"telephone_number": "248-668-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3972 18TH ST",
"city": "ECORSE",
"state": "MI",
"postal_code": "482291312",
"telephone_number": "248-668-0922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "DEMERE",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "G630139366497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ecorse, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.