Marcella Brengle, LMSW
Individual provider Active NPI Social Worker · Ionia, MI
NPI 1477039600 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1477039600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801102431 (MI)
- Practice address
- 375 Apple Tree Dr
Ionia, MI 48846-7506 - Phone
- (616) 527-1790
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ionia County Community Mental Health
Practice addresses (Care Compare)
375 Apple Tree Dr
Ionia, MI 48846-7506
Phone 61652717901142
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211013000200 | MI | Practitioner - Clinical Social Worker | 1153729769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801102431 | MI | MD | Social Worker |
| 0904019231 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ionia County Community Mental Health | Current |
Accepting new patients |
Locations
7441 Storey Rd
Belding, MI 48809
Phone (616) 361-5001
375 Apple Tree Dr
Ionia, MI 48846
Phone (616) 527-1790
375 Apple Tree Dr
#H
Ionia, MI 48846
Phone (616) 527-1790
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904019231 | VA | |
| Social Worker | 104100000X | 6801102431 | MI | Yes |
Addresses
Primary practice location
375 Apple Tree Dr
Ionia, MI 48846-7506
Mailing address
375 Apple Tree Dr
Ionia, MI 48846-7506
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715928 | Medicaid | MI |
Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.