Active NPI
Marcella J Jones, BAA
- Social Worker
- Flint, MI
National Provider Identifier
1558824516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 705 S Dort Hwy
Flint, MI 48503-2852 - Phone
- (989) 854-8811
- NPI assigned
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
705 S Dort Hwy
Flint, MI 48503-2852
Mailing address
2253 Russell St
Grand Blanc, MI 48439-4217
Phone (989) 854-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1558824516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2253 RUSSELL ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484394217",
"telephone_number": "989-854-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 S DORT HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485032852",
"telephone_number": "989-854-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARCELLA",
"middle_name": "J",
"credential": "BAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.