Active NPI
Marcus Griffey, LMSW
- Clinical Social Worker
- Benton Harbor, MI
National Provider Identifier
1255842928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106509
- Practice address
- 1485 M 139
Benton Harbor, MI 49022-5711 - Phone
- (800) 336-0341
- NPI assigned
- Oct 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 680110985 | MI | |
| Clinical Social Worker | 1041C0700X | 6801106509 | MI | Primary |
Addresses
Primary practice location
1485 M 139
Benton Harbor, MI 49022-5711
Mailing address
11901 Fulton St. E
Ste. B #11
Lowell, MI 49331
Phone (616) 344-9690
Other practice location 1
1116 Bowes Rd Apt 4
Lowell, MI 49331-9578
Phone (269) 362-1507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715928 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680110985 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berrien Mental Health Authority | Past | Accepting new patients |
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.
-
dba NorthStar Center
- Psychiatry Physician
- Saint Joseph, MI
- NPI 1508801465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1255842928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 FULTON ST. E",
"address_2": "STE. B #11",
"city": "LOWELL",
"state": "MI",
"postal_code": "49331",
"telephone_number": "616-344-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 M 139",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490225711",
"telephone_number": "800-336-0341"
}
],
"practiceLocations": [
{
"address_1": "1116 Bowes Rd Apt 4",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MI",
"postal_code": "493319578",
"country_code": "US",
"telephone_number": "269-362-1507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFEY",
"first_name": "MARCUS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-20",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "680110985",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1715928",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.