Marylou Michelle Walburn, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085994 Issued in MI

Practice address

2568 E Stewart Rd
Midland, MI 48640-8557

Phone

(989) 708-1338

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1609412840

  Clinical

  NPD

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1659522100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 E STEWART RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408557",
            "telephone_number": "989-708-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 E STEWART RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408557",
            "telephone_number": "989-708-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBURN",
        "first_name": "MARYLOU",
        "middle_name": "MICHELLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13676296",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autum T Wainwright
• Janet Lee Wakeman, PTA
• Kayla G Wakeman, M.A., CF-SLP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Jacob E Waldron, D.O.
• Heidi Lynn Wale, MS
• Walgreen Co
• Walgreen Co
• Hope Richelle Walker, LLBSW

• Clinical Social Worker in Midland, MI
• Providers in Midland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.