Active NPI
Mary Jo Dempsey PC
- Clinical Social Worker
- Muskegon, MI
National Provider Identifier
1780765271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801033857
- Legal business name
- MARY JO DEMPSEY PC
- Practice address
- 1735 Peck St
Muskegon, MI 49441-2507 - Phone
- (231) 722-8500
- Fax
- (517) 579-0272
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Jo Dempsey, MSW
- Title
- Owner
- Phone
- (231) 722-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801033857 | MI | Primary |
Addresses
Primary practice location
1735 Peck St
Muskegon, MI 49441-2507
Mailing address
5124 Brookwood Cir
Montague, MI 49437-1001
Phone (231) 894-5011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
800 E Ellis Rd
Ste 221
Norton Shores, MI 49441
Phone (231) 722-8500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Norton Shores, MI
- NPI 1003857426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780765271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 BROOKWOOD CIR",
"city": "MONTAGUE",
"state": "MI",
"postal_code": "494371001",
"telephone_number": "231-894-5011",
"fax_number": "517-579-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 PECK ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494412507",
"telephone_number": "231-722-8500",
"fax_number": "517-579-0272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY JO DEMPSEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEMPSEY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-722-8500",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801033857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.