Individual provider Active NPI

Dawn Demerly, LMSW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1801506787
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119713 Issued in MI
Practice address
2149 Jolly Rd Ste 500
Okemos, MI 48864-6028
Phone
(517) 347-4645
Fax
(517) 347-4644
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801119713 MI Primary

Addresses

Primary practice location

2149 Jolly Rd Ste 500
Okemos, MI 48864-6028

Mailing address

2149 Jolly Rd Ste 500
Okemos, MI 48864-6028
Phone (517) 347-4645

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
I20250613002494 MI Practitioner - Clinical Social Worker 9234640525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Livingston County Community Mental Health AuthorityGroup PAC ID 9739178021, 12 clinicians

Practice addresses (Care Compare)

2149 Jolly Rd
Suite 500
Okemos, MI 48864-6028
Phone (517) 347-4645

2280 E Grand River Ave
Howell, MI 48843-8503
Phone (517) 546-4126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119713MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients
Livingston County Community Mental Health Authority CurrentSince May 14, 2025 Accepting new patients

Locations

622 E Grand River Ave
Howell, MI 48843
Phone (517) 548-0081

2280 E Grand River Ave
Howell, MI 48843
Phone (517) 546-4126

209 E Washington Ave
Ste 205
Jackson, MI 49201
Phone (517) 648-2416

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1801506787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 JOLLY RD STE 500",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646028",
            "telephone_number": "517-347-4645",
            "fax_number": "517-347-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 JOLLY RD STE 500",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646028",
            "telephone_number": "517-347-4645",
            "fax_number": "517-347-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERLY",
        "first_name": "DAWN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.