Individual provider Active NPI

Marjorie Marie Belvedere, B.S.

  • Social Worker
  • Sterling Heights, MI
National Provider Identifier
1609175694
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6803085804 Issued in MI
Practice address
13511 Cloverlawn Dr
Sterling Heights, MI 48312-1626
Phone
(586) 202-2400
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6803085804 MI Primary

Addresses

Primary practice location

13511 Cloverlawn Dr
Sterling Heights, MI 48312-1626

Mailing address

13511 Cloverlawn Dr
Sterling Heights, MI 48312-1626
Phone (586) 202-2400

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6803085804MIMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1609175694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13511 CLOVERLAWN DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121626",
            "telephone_number": "586-202-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13511 CLOVERLAWN DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121626",
            "telephone_number": "586-202-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELVEDERE",
        "first_name": "MARJORIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6803085804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.