Ascend Therapy LLC

Organization Active NPI Clinical Social Worker · Grand Ledge, MI

NPI 1760174908 · NPPES record last updated May 25, 2023

Key facts

NPI
1760174908
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
ASCEND THERAPY LLC
Practice address
1092 Saint Johns Chase
Grand Ledge, MI 48837-9781
Phone
(517) 214-3354
NPI assigned
May 25, 2023
Organization subpart
No

Authorized official

Name
Ms. Laurie Danielle Desilva, LMSW
Title
Mental Health Therapist
Phone
(517) 214-3354

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230609001025 MI Part B Supplier - Clinic/Group Practice 2365809134 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Ledge, MI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

1092 Saint Johns Chase
Grand Ledge, MI 48837-9781

Mailing address

1092 Saint Johns Chase
Grand Ledge, MI 48837-9781
Phone (517) 214-3354

Other providers in Grand Ledge, MI

All providers in Grand Ledge, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.