Organization Active NPI

Shoreline Supportive Counseling PLLC

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1346933389
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHORELINE SUPPORTIVE COUNSELING PLLC
Practice address
220 W Washington St Ste 127
Marquette, MI 49855-4347
Phone
(906) 280-9167
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Elizabeth Case, LMSWNPI 1801200670
Title
Authorized Official / Sole Member
Phone
(906) 280-9167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

220 W Washington St Ste 127
Marquette, MI 49855-4347

Mailing address

220 W Washington St Ste 127
Marquette, MI 49855-4347
Phone (906) 280-9167

Other practice location 1

1100 Ludington St Ste 303
Escanaba, MI 49829-3500
Phone (906) 280-9167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230818002191 MI Part B Supplier - Clinic/Group Practice 2860854080 Receives reassigned benefits from 1 practitioner
Practice locations: Escanaba, MI; Marquette, MI

National Provider Directory

National Provider Directory

Locations

1100 Ludington St
Ste 303
Escanaba, MI 49829
Phone (906) 280-9167

1100 Ludington St
Ste 302
Escanaba, MI 49829
Phone (906) 280-9167

220 W Washington St
Ste 127
Marquette, MI 49855
Phone (906) 280-9167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1346933389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST STE 127",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554347",
            "telephone_number": "906-280-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W WASHINGTON ST STE 127",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554347",
            "telephone_number": "906-280-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Ludington St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498293500",
            "country_code": "US",
            "telephone_number": "906-280-9167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE SUPPORTIVE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL / SOLE MEMBER",
        "authorized_official_telephone_number": "906-280-9167",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.