Individual provider Active NPI

Assegid A. Mersha, L.L.M.S.W.

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1326470543
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094890 Issued in MI
Practice address
1600 N Michigan Ave Ste 404
Saginaw, MI 48602-5306
Phone
(989) 755-8225
NPI assigned
Jul 31, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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 6801094890 MI Primary

Addresses

Primary practice location

1600 N Michigan Ave Ste 404
Saginaw, MI 48602-5306

Mailing address

1600 N Michigan Ave Ste 404
Saginaw, MI 48602-5306
Phone (989) 755-8225

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

LicenseStateTypeSpecialty
6801094890MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reenvision You Counseling and Therapeutic Services PPLC Clinical CurrentSince Jan 31, 2021 Accepting new patients
PPPS III Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1326470543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MICHIGAN AVE STE 404",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025306",
            "telephone_number": "989-755-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MICHIGAN AVE STE 404",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025306",
            "telephone_number": "989-755-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSHA",
        "first_name": "ASSEGID",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "L.L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.