Individual provider Active NPI

Trudi Lynn Marsh, MSW, LMSW

  • Clinical Social Worker
  • Harrisville, MI
National Provider Identifier
1386957355
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091842 Issued in MI
Practice address
51 N Barlow Rd
Harrisville, MI 48740-9606
Phone
(989) 736-8157
Fax
(989) 358-3762
NPI assigned
Jul 20, 2010
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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 6801091842 MI Primary

Addresses

Primary practice location

51 N Barlow Rd
Harrisville, MI 48740-9606

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929
Phone (989) 736-8157

Other names 1

  • Trudi Lynn Bennett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trudi.marsh.p1@direct.alcona.nextgenshare.com

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
I20190813000093 MI Practitioner - Clinical Social Worker 7911234091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ausable Valley Community Mental Health Services BoardGroup PAC ID 2961485610, 16 clinicians

Practice addresses (Care Compare)

1199 W Harris Ave
Tawas City, MI 48763-9681
Phone (989) 362-8636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091842MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ausable Valley Community Mental Health Services Board CurrentSince Mar 1, 2024 Accepting new patients
Monarch Behavioral Services, LLC Clinical Current Accepting new patients

Locations

1199 Harris Ave
Tawas City, MI 48763
Phone (517) 362-7800

511 Griffin Rd
West Branch, MI 48661
Phone (989) 345-5540

Interoperability endpoints

  • Direct secure messaging: trudi.marsh.p1@direct.alcona.nextgenshare.com

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1386957355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N BARLOW RD",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409606",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "TRUDI",
        "middle_name": "LYNN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trudi.marsh.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "51 N Barlow Rd",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487409606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRUDI",
            "last_name": "BENNETT",
            "middle_name": "LYNN",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisville, MI

Sources for this page

Verify at the official NPI Registry.