Active NPI
Mary-Margaret Parson Fleury, LMSW
- Clinical Social Worker
- Plymouth, MI
National Provider Identifier
1780220632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801079718
- Practice address
- 42217 Ann Arbor Rd E
Plymouth, MI 48170-4364 - Phone
- (734) 564-1360
- NPI assigned
- Nov 25, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MI | ||
| Clinical Social Worker | 1041C0700X | 6801079718 | MI | Primary |
Addresses
Primary practice location
42217 Ann Arbor Rd E
Plymouth, MI 48170-4364
Mailing address
14700 Dogwood Dr
Plymouth, MI 48170-2700
Phone (734) 740-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0823019 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://secure.simplepractice.com/users/sign_in | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801079718 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1780220632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 DOGWOOD DR",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702700",
"telephone_number": "734-740-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42217 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704364",
"telephone_number": "734-564-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEURY",
"first_name": "MARY-MARGARET",
"middle_name": "PARSON",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-25",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801079718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0823019",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://secure.simplepractice.com/users/sign_in",
"affiliation": "N",
"endpointDescription": "EHR Login",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR patient acess and billing",
"address_1": "42217 Ann Arbor Rd E",
"city": "Plymouth",
"state": "MI",
"country_code": "US",
"postal_code": "481704364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.