Individual provider Active NPI

Marie B Kent, LLMSW, MA

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1659068179
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851104858 Issued in MI
Practice address
25191 Hoover Rd
Warren, MI 48089-1145
Phone
(586) 806-6641
Fax
(586) 806-6742
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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 6851104858 MI Primary

Addresses

Primary practice location

25191 Hoover Rd
Warren, MI 48089-1145

Mailing address

25191 Hoover Rd
Warren, MI 48089-1145
Phone (586) 806-6641

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6851104858MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preserve Independence Counseling CurrentSince Apr 30, 2023 Accepting new patients

Locations

25191 Hoover Rd
Warren, MI 48089
Phone (586) 262-2800

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1659068179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25191 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891145",
            "telephone_number": "586-806-6641",
            "fax_number": "586-806-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25191 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891145",
            "telephone_number": "586-806-6641",
            "fax_number": "586-806-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "MARIE",
        "middle_name": "B",
        "credential": "LLMSW, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851104858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.