Individual provider Active NPI

Mary Phillips, LLMSW

  • Social Worker
  • Lansing, MI
National Provider Identifier
1760903827
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801101422 Issued in MI
Practice address
2316 S Cedar St
Lansing, MI 48910-3152
Phone
(517) 887-4302
Fax
(517) 887-4437
NPI assigned
Jun 29, 2017
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801101422 MI Primary

Addresses

Primary practice location

2316 S Cedar St
Lansing, MI 48910-3152

Mailing address

PO Box 30161
Lansing, MI 48909-7661
Phone (517) 364-8178

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
I20200106002081 MI Practitioner - Clinical Social Worker 9830523513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5303 S Cedar St
Suite 2
Lansing, MI 48911-3800
Phone (517) 346-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101422MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Authority Clinton Eaton Ingham Counties CurrentSince Dec 18, 2019 Accepting new patients

Locations

551 Courthouse Dr
Ste 5
Charlotte, MI 48813
Phone (517) 543-5100

2316 S Cedar St
Lansing, MI 48910
Phone (517) 702-4130

5303 S Cedar St
Ste 2
Lansing, MI 48911
Phone (517) 237-7350

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Ste 210
Lansing, MI 48910
Phone (517) 237-7162

812 E Jolly Rd
Ste 216
Lansing, MI 48910
Phone (517) 346-9525

812 E Jolly Rd
Ste 311
Lansing, MI 48910
Phone (517) 346-8195

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, 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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1760903827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30161",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489097661",
            "telephone_number": "517-364-8178",
            "fax_number": "517-244-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103152",
            "telephone_number": "517-887-4302",
            "fax_number": "517-887-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MARY",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801101422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.