Individual provider Active NPI

John Francis Marsden, LMSW

  • Clinical Social Worker
  • Ferndale, MI
National Provider Identifier
1366152886
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114709 Issued in MI
Practice address
1709 Dover St
Ferndale, MI 48220-3108
Phone
(269) 753-5866
NPI assigned
Nov 28, 2022
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 6801114709 MI Primary

Addresses

Primary practice location

1709 Dover St
Ferndale, MI 48220-3108

Mailing address

1709 Dover St
Ferndale, MI 48220-3108
Phone (269) 753-5866

Other names 1

  • Jack Marsden Other name

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
I20230525003274 MI Practitioner - Clinical Social Worker 6800252388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114709MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maturity Matters Clinical CurrentSince May 12, 2023 Accepting new patients
Heckendorn Consultation and Therapy, PLLC Clinical CurrentSince May 12, 2023 Accepting new patients

Locations

1880 W Stadium Blvd
Ann Arbor, MI 48103
Phone (734) 369-6163

220 Collingwood St
Ste 140
Ann Arbor, MI 48103
Phone (734) 274-0536

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1366152886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 DOVER ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203108",
            "telephone_number": "269-753-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 DOVER ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203108",
            "telephone_number": "269-753-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSDEN",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "MARSDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ferndale, MI

Sources for this page

Verify at the official NPI Registry.