Individual provider Active NPI

Mary Ann Stockwell, RN,LMSW

  • Clinical Social Worker
  • Washington, MI
National Provider Identifier
1639566920
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801068321 Issued in MI
Practice address
6303 26 Mile Rd
Ste 120
Washington, MI 48094-3825
Phone
(586) 604-1339
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 6801068321 MI Primary

Addresses

Primary practice location

6303 26 Mile Rd
Ste 120
Washington, MI 48094-3825

Mailing address

6303 26 Mile Rd
Ste 120
Washington, MI 48094-3825
Phone (586) 604-1339

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
I20150603002287 MI Practitioner - Clinical Social Worker 1456672336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alternative Solutions Counseling LLCGroup PAC ID 6002135266, 2 clinicians

Practice addresses (Care Compare)

7730 Smale St
Washington, MI 48094-3501
Phone (586) 604-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Solutions Counseling LLC Clinical CurrentSince May 27, 2015 Accepting new patients

Locations

6303 26 Mile Rd
Ste 120
Washington Township, MI 48094
Phone (248) 978-5625

7730 Smale St
Washington Twp, MI 48094
Phone (586) 604-1339

Organizations & group practices 1

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1639566920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 26 MILE RD",
            "address_2": "STE 120",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943825",
            "telephone_number": "586-604-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 26 MILE RD",
            "address_2": "STE 120",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943825",
            "telephone_number": "586-604-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKWELL",
        "first_name": "MARY ANN",
        "credential": "RN,LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MI

Sources for this page

Verify at the official NPI Registry.