Active NPI
Merri Ann Terborgh, MA LMSW CCM
- Clinical Social Worker
- Marcellus, MI
National Provider Identifier
1811005697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801035182
- Practice address
- 56465 Old 119
Marcellus, MI 49067 - Phone
- (269) 646-9321
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801035182 | MI | Primary |
Addresses
Primary practice location
56465 Old 119
Marcellus, MI 49067
Mailing address
PO Box 537
Marcellus, MI 49067
Phone (269) 646-9321
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801035182 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811005697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"city": "MARCELLUS",
"state": "MI",
"postal_code": "49067",
"telephone_number": "269-646-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56465 OLD 119",
"city": "MARCELLUS",
"state": "MI",
"postal_code": "49067",
"telephone_number": "269-646-9321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERBORGH",
"first_name": "MERRI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA LMSW CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801035182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marcellus, MI
Sources for this page
- 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.