Individual provider Active NPI

Ashleigh R. Merryman, LLMSW

  • Social Worker
  • Flint, MI
National Provider Identifier
1275155871
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801106967 Issued in MI
Practice address
4318 Miller Rd
Flint, MI 48507-1267
Phone
(810) 249-9924
Fax
(810) 249-9927
NPI assigned
May 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801106967 MI
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 6801106967 MI Primary

Addresses

Primary practice location

4318 Miller Rd
Flint, MI 48507-1267

Mailing address

9929 Boulder CT
Davisburg, MI 48350-2053
Phone (586) 265-6986

Other practice location 1

6549 Town Center Dr Ste A
Clarkston, MI 48346-4824
Phone (800) 395-3223

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

LicenseStateTypeSpecialty
6801106967MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Servies PastSince May 24, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1275155871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9929 BOULDER CT",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502053",
            "telephone_number": "586-265-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071267",
            "telephone_number": "810-249-9924",
            "fax_number": "810-249-9927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6549 Town Center Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483464824",
            "country_code": "US",
            "telephone_number": "800-395-3223",
            "fax_number": "833-329-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRYMAN",
        "first_name": "ASHLEIGH",
        "middle_name": "R.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106967",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.