Active NPI
Natalie Pearce, LMSW
- Clinical Social Worker
- Marquette, MI
National Provider Identifier
1659883189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086121
- Practice address
- 200 W Spring St
Marquette, MI 49855-4661 - Phone
- (906) 225-9835
- Fax
- (906) 225-7282
- NPI assigned
- Oct 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086121 | MI | Primary |
Addresses
Primary practice location
200 W Spring St
Marquette, MI 49855-4661
Mailing address
200 W Spring St
Marquette, MI 49855-4661
Phone (906) 225-9835
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190112000223 | MI | Practitioner - Clinical Social Worker | 9830435858 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801086121 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suppression Expression Counseling, LLC | Current | Accepting new patients |
Locations
4370 Chicago Dr SW
Ste 515
Grandville, MI 49418
4370 Chicago Dr SW
#515
Grandville, MI 49418
Phone (616) 287-2283
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": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1659883189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W SPRING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554661",
"telephone_number": "906-225-9835",
"fax_number": "906-225-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SPRING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554661",
"telephone_number": "906-225-9835",
"fax_number": "906-225-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "NATALIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.