Individual provider Active NPI

Mary Moritz, LMSW

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1629509187
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801066611 Issued in MI
Practice address
10683 S Saginaw St Ste B
Grand Blanc, MI 48439-8127
Phone
(810) 771-4074
NPI assigned
Mar 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 6801066611 MI Primary

Addresses

Primary practice location

10683 S Saginaw St Ste B
Grand Blanc, MI 48439-8127

Mailing address

10683 S Saginaw St Ste B
Grand Blanc, MI 48439-8127
Phone (810) 533-1476

Other practice location 1

4413 Corunna Rd
Flint, MI 48532-4321
Phone (810) 733-5735

Other practice location 2

5448 W Farrand Rd
Clio, MI 48420-8204
Phone (810) 533-1476

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
I20180417002721 MI Practitioner - Clinical Social Worker 3971866351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Behavioral Health GroupGroup PAC ID 1759658966, 6 clinicians

Practice addresses (Care Compare)

Clio, MI 48420
Phone (810) 533-1476

4413 Corunna Rd
Flint, MI 48532-4321
Phone (810) 733-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Senior Mental Health Specialists LLC Clinical CurrentSince Jul 3, 2023 Accepting new patients
Independent Behavioral Health Group CurrentSince Feb 20, 2018 Accepting new patients

Locations

4413 Corunna Rd
Flint, MI 48532
Phone (810) 630-1152

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1629509187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10683 S SAGINAW ST STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398127",
            "telephone_number": "810-533-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10683 S SAGINAW ST STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398127",
            "telephone_number": "810-771-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4413 Corunna Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485324321",
            "country_code": "US",
            "telephone_number": "810-733-5735",
            "fax_number": "810-733-5733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5448 W Farrand Rd",
            "address_purpose": "LOCATION",
            "city": "Clio",
            "state": "MI",
            "postal_code": "484208204",
            "country_code": "US",
            "telephone_number": "810-533-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801066611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.