Individual provider Active NPI

Matthew Remes

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1366634784
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089407 Issued in MI
Practice address
1750 E Grand River Ave Ste 100
East Lansing, MI 48823-4958
Phone
(517) 295-3726
Fax
(844) 927-4501
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801089407 MI
Clinical Social Worker 1041C0700X 6801089407 MI Primary

Addresses

Primary practice location

1750 E Grand River Ave Ste 100
East Lansing, MI 48823-4958

Mailing address

1750 E Grand River Ave Ste 100
East Lansing, MI 48823-4958
Phone (517) 295-3726

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
6801089407MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services of East Lansing, LLC Social Worker CurrentSince Dec 21, 2025 Accepting new patients
Palazzolo Therapy Services LLC Social Worker PastSince May 1, 2023 Accepting new patients

Locations

1750 E Grand River Ave
Ste 100
East Lansing, MI 48823
Phone (517) 295-3726

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": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1366634784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E GRAND RIVER AVE STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234958",
            "telephone_number": "517-295-3726",
            "fax_number": "844-927-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GRAND RIVER AVE STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234958",
            "telephone_number": "517-295-3726",
            "fax_number": "844-927-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMES",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089407",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.