Michigan Senior Mental Health Specialists LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHIGAN SENIOR MENTAL HEALTH SPECIALISTS LLC

Practice address

5448 W Farrand Rd
Clio, MI 48420-8204

Phone

(810) 533-1476

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Moritz, LMSWNPI 1629509187

Title

Owner

Phone

(810) 533-1476

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Moritz, LMSW

  • Clinical Social Worker
  • Grand Blanc, MI
  • NPI 1629509187
  Medicare reassignment NPD Authorized official
• Paula Lynn Walko, LMSW

  • Clinical Social Worker
  • Flint, MI
  • NPI 1093247728
  Medicare reassignment NPD
• Kyle Lynch, LLMSW

  • Social Worker
  • Grand Blanc, MI
  • NPI 1487319455

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1407631401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 W FARRAND RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208204",
            "telephone_number": "810-533-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 W FARRAND RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208204",
            "telephone_number": "810-533-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SENIOR MENTAL HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "MORITZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-533-1476",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Meiser
• Michigan Community Services Inc
• Michigan Community Services, Inc
• Michigan Dental Sleep Center Inc
• Michigan Dental Sleep Center Inc
• Craig Miler
• Dawn Michelle Miller, LMT, CLT
• Timothy J Miller, DDS
• Jodeelin Miner, LMT
• Jillian Marie Misekow

• Clinical Social Worker in Clio, MI
• Providers in Clio, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.