Mary Julia Dufon, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801114599 Issued in MI

Practice address

2730 5 Mile Rd NE Ste 101
Grand Rapids, MI 49525-6518

Phone

(616) 426-9401

NPI assigned

May 11, 2023

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Center of West Michigan PLLCGroup PAC ID 1658809421, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Center of West Michigan PLLC

  dba Healing Center of West Michigan

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1659147551
  Medicare reassignment Care Compare group NPD
• Life Support LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1437518875
  NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1659061760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488050854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 5 MILE RD NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256518",
            "telephone_number": "616-426-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFON",
        "first_name": "MARY",
        "middle_name": "JULIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari Jo Dufel, LMSW
• Ulrich Andreas Duffner, M.D.
• Amy Duffy-Barnes, LMSW
• Brooke Lauren Duffy
• Karen Duffy, CCC-SLP
• Jeffrey Dufresne
• Larry Dugan, PH.D.
• Ryan M Dugan, OTR/L
• John Thore Duhn, DO
• Ryan Duhn

• Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.