Individual provider Active NPI

Serena Marshman, LMSW CSW

  • Clinical Social Worker
  • Rochester Hills, MI
National Provider Identifier
1609962794
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068973 Issued in MI
Practice address
1880 Star Batt Dr
Rochester Hills, MI 48309-3709
Phone
(248) 894-0627
Fax
(248) 289-6817
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801068973 MI Primary

Addresses

Primary practice location

1880 Star Batt Dr
Rochester Hills, MI 48309-3709

Mailing address

1431 W Lincoln St
Birmingham, MI 48009-1847
Phone (248) 894-0627

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
I20050309000370 MI Practitioner - Clinical Social Worker 7517911944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mielke and Weeks, P. C.Group PAC ID 4587856422, 5 clinicians

Practice addresses (Care Compare)

1880 Star Batt Dr
Rochester Hills, MI 48309-3709
Phone (248) 289-6817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mielke & Weeks, P. C. CurrentSince Jul 13, 2013 Accepting new patients
Macomb Family Services, Inc Clinical Past Accepting new patients
Macomb Family Services, Inc. Clinical PastSince Jan 1, 1995 Accepting new patients

Locations

1880 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 289-6817

1880 Star Batt Dr
Bldg 1
Rochester Hills, MI 48309
Phone (248) 375-0834

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1609962794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 W LINCOLN ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091847",
            "telephone_number": "248-894-0627",
            "fax_number": "248-645-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 STAR BATT DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093709",
            "telephone_number": "248-894-0627",
            "fax_number": "248-289-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHMAN",
        "first_name": "SERENA",
        "credential": "LMSW CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.