Individual provider Active NPI

Perla Garza, LMSW

  • Clinical Social Worker
  • Ionia, MI
National Provider Identifier
1659805802
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108293 Issued in MI
Practice address
1222 Prairie Creek Rd
Ionia, MI 48846-9771
Phone
(616) 835-6306
NPI assigned
Apr 14, 2017
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801108293 MI Primary

Addresses

Primary practice location

1222 Prairie Creek Rd
Ionia, MI 48846-9771

Mailing address

1222 Prairie Creek Rd
Ionia, MI 48846-9771
Phone (616) 835-6306

Other practice location 1

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

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
I20201119003378 MI Practitioner - Clinical Social Worker 3577974732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montcalm Care NetworkGroup PAC ID 8123000932, 12 clinicians

Practice addresses (Care Compare)

611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801108293MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montcalm Care Network Multi-Specialty CurrentSince Jun 20, 2025 Accepting new patients

Locations

611 N State St
Stanton, MI 48888
Phone (989) 831-7520

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1659805802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 PRAIRIE CREEK RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488469771",
            "telephone_number": "616-835-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PRAIRIE CREEK RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488469771",
            "telephone_number": "616-835-6306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N State St",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "MI",
            "postal_code": "488889702",
            "country_code": "US",
            "telephone_number": "989-831-7520",
            "fax_number": "989-831-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "PERLA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.