Mallerey L. Michaels, MSW, LMSW, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801046535 Issued in MI

Practice address

1321 S Fayette St
Saginaw, MI 48602-1447

Phone

(989) 792-8000

Fax

(989) 792-8445

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Julianne L. Fairley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• List Psychological Services, PLC

  • Clinical Social Worker
  • Sandusky, MI
  • NPI 1174267116
  NPD (past)
• Tuscola County Community Mental Health Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1275644775
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801920491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 GETTYSBURG ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486425804",
            "telephone_number": "989-837-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 S FAYETTE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021447",
            "telephone_number": "989-792-8000",
            "fax_number": "989-792-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "MALLEREY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801046535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "FAIRLEY",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "MSW, LMSW, ACSW, LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael J Slavin M D PC
• Michael L Schultz MD PC
• Michael Walker, D.C., P.C.
• Patricia Lynne Michael, R.PH.
• Ann Michaels, LMSW
• Donna Lynn Michailo, OTR/L
• Michael Vincent Michalak, P.A.
• Jami Lynn Michels
• Ryan David Michelson, D.D.S.
• Michigan Advanced Neurology Center, PLLC

• Social Worker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.