Active NPI
Dearmond Professional Services LLC
- Clinical Social Worker
- Grand Blanc, MI
National Provider Identifier
1427569979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801094720
- Legal business name
- DEARMOND PROFESSIONAL SERVICES LLC
- Practice address
- 8240 Embury Rd
Grand Blanc, MI 48439-7113 - Phone
- (810) 624-0234
- Fax
- (810) 396-6119
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Beth Houpt
- Title
- Credentialing
- Phone
- (517) 676-9788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094720 | MI | Primary |
Addresses
Primary practice location
8240 Embury Rd
Grand Blanc, MI 48439-7113
Mailing address
PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Grand Blanc, MI
- NPI 1023530292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1427569979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "MASON",
"state": "MI",
"postal_code": "488540010",
"telephone_number": "517-676-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8240 EMBURY RD",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397113",
"telephone_number": "810-624-0234",
"fax_number": "810-396-6119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARMOND PROFESSIONAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A",
"authorized_official_last_name": "HOUPT",
"authorized_official_first_name": "MARY BETH",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "517-676-9788"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801094720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.