Individual provider Active NPI

Mary Anne Scarsella, LMSW

  • Social Worker
  • Grosse Pointe Woods, MI
National Provider Identifier
1427710938
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104009 Issued in MI
Practice address
1675 Fairholme Rd
Grosse Pointe Woods, MI 48236-2368
Phone
(313) 244-0900
NPI assigned
Oct 12, 2021
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801104009
Social Worker 104100000X 6801104009 MI Primary

Addresses

Primary practice location

1675 Fairholme Rd
Grosse Pointe Woods, MI 48236-2368

Mailing address

18416 Martin Rd
Roseville, MI 48066-4805
Phone (586) 360-5414

Other practice location 1

18416 Martin Rd
Roseville, MI 48066-4805
Phone (586) 360-5414

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
I20220926000525 MI Practitioner - Clinical Social Worker 7416333604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Point in Time PLLCGroup PAC ID 6608252895, 3 clinicians

Practice addresses (Care Compare)

1675 Fairholme Rd
Grosse Pointe Woods, MI 48236-2368
Phone (313) 244-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801104009MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Point in Time PLLC Social Worker CurrentSince Aug 20, 2022 Accepting new patients

Locations

134 W Maple St
Mason, MI 48854
Phone (517) 676-9788

Organizations & group practices 1

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1427710938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18416 MARTIN RD",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664805",
            "telephone_number": "586-360-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 FAIRHOLME RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362368",
            "telephone_number": "313-244-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18416 Martin Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664805",
            "country_code": "US",
            "telephone_number": "586-360-5414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARSELLA",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "6801104009",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.