Active NPI
Sherri Larock-Macdonald, LMSW
- Clinical Social Worker
- Brimley, MI
National Provider Identifier
1740707488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801080940
- Practice address
- 12124 W Lakeshore Dr
Brimley, MI 49715-9319 - Phone
- (906) 248-3204
- NPI assigned
- Aug 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 | 6801080940 | MI | Primary |
Addresses
Primary practice location
12124 W Lakeshore Dr
Brimley, MI 49715-9319
Mailing address
12124 W Lakeshore Dr
Brimley, MI 49715-9319
Phone (906) 248-3204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740707488 | Medicaid | MI |
Other names 1
- Sherri Larock
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740707488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12124 W LAKESHORE DR",
"city": "BRIMLEY",
"state": "MI",
"postal_code": "497159319",
"telephone_number": "906-248-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12124 W LAKESHORE DR",
"city": "BRIMLEY",
"state": "MI",
"postal_code": "497159319",
"telephone_number": "906-248-3204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCK-MACDONALD",
"first_name": "SHERRI",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801080940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740707488",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRI",
"last_name": "LAROCK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brimley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.