Individual provider Active NPI

Marrit Lee Shiery, LMSW

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1356893960
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096775 Issued in MI
Practice address
330 Columbia Ave E
Battle Creek, MI 49015-4469
Phone
(269) 964-0513
Fax
(855) 877-5812
NPI assigned
Oct 30, 2016
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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 6801096775 MI Primary

Addresses

Primary practice location

330 Columbia Ave E
Battle Creek, MI 49015-4469

Mailing address

330 Columbia Ave E
Battle Creek, MI 49015-4469
Phone (269) 964-0513

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
I20170419002381 MI Practitioner - Clinical Social Worker 8022394402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Comforts of Home Counseling and Care Management LLCGroup PAC ID 8123305802, 11 clinicians

Practice addresses (Care Compare)

391 S Shore Dr
Suite 214
Battle Creek, MI 49014-5446
Phone (269) 964-0153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096775MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comforts of Home Counseling & Care Management LLC Clinical CurrentSince Mar 5, 2017 Accepting new patients

Locations

391 S Shore Dr
Ste 214
Battle Creek, MI 49014
Phone (269) 245-5440

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, 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": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1356893960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 COLUMBIA AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154469",
            "telephone_number": "269-964-0513",
            "fax_number": "855-877-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 COLUMBIA AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154469",
            "telephone_number": "269-964-0513",
            "fax_number": "855-877-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIERY",
        "first_name": "MARRIT",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.