Active NPI
Mesm, LLC
- Clinical Social Worker
- Maple Grove, MN
National Provider Identifier
1467975607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06884
- Legal business name
- MESM, LLC
- Practice address
- 11224 86TH Ave N
Maple Grove, MN 55369-4510 - Phone
- (763) 400-7077
- Fax
- (763) 400-7078
- NPI assigned
- Jul 19, 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
- Margot Storti-Marron, LICSW
- Title
- Owner, Psychotherapist
- Phone
- (763) 400-7077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06884 | MN | Primary |
Addresses
Primary practice location
11224 86TH Ave N
Maple Grove, MN 55369-4510
Mailing address
16460 78TH Ave N
Maple Grove, MN 55311
Phone (763) 416-6350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528159860 | Other | NPI |
Other names 1
- Margot Storti-Marron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Maple Grove, MN
- NPI 1528159860
-
- Social Worker
- Maple Grove, MN
- NPI 1881657229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1467975607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16460 78TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55311",
"telephone_number": "763-416-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11224 86TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694510",
"telephone_number": "763-400-7077",
"fax_number": "763-400-7078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-19",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "STORTI-MARRON",
"authorized_official_first_name": "MARGOT",
"authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
"authorized_official_telephone_number": "763-400-7077",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "06884",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1528159860",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Margot Storti-Marron",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.