Individual provider Active NPI

Mary-Devon Leigh Bement, LMSW

  • Clinical Social Worker
  • Chesterfield, MI
National Provider Identifier
1295246031
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801107724 Issued in MI
Practice address
Grace Counseling, 23 Mile Rd.
Chesterfield, MI 48047
Phone
(517) 507-2871
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 6801107724 MI Primary

Addresses

Primary practice location

Grace Counseling, 23 Mile Rd.
Chesterfield, MI 48047

Mailing address

Grace Counseling, 23 Mile Rd.
Chesterfield, MI 48047

Other practice location 1

2300 Jolly Oak Rd
Okemos, MI 48864-3546
Phone (517) 679-2050

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201117000429 MI Practitioner - Clinical Social Worker 7214348689 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jan 12, 2022 Accepting new patients
Downriver Mental Health Clinic PC Clinical CurrentSince Jan 12, 2022 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

3475 Belle Chase Way
Lansing, MI 48911
Phone (517) 744-7389

4136 Legacy Pkwy
Lansing, MI 48911
Phone (517) 492-0517

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.marydevonbement@150339.advancedmd-direct.com

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1295246031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GRACE COUNSELING, 23 MILE RD.",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRACE COUNSELING, 23 MILE RD.",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "48047",
            "telephone_number": "517-507-2871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Jolly Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643546",
            "country_code": "US",
            "telephone_number": "517-679-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEMENT",
        "first_name": "MARY-DEVON",
        "middle_name": "LEIGH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.