Merri Ann Terborgh, MA LMSW CCM
Individual provider Active NPI Clinical Social Worker · Marcellus, MI
NPI 1811005697 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811005697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801035182 (MI)
- Practice address
- 56465 Old 119
Marcellus, MI 49067 - Phone
- (269) 646-9321
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801035182 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801035182 | MI | Yes |
Addresses
Primary practice location
56465 Old 119
Marcellus, MI 49067
Mailing address
PO Box 537
Marcellus, MI 49067
Phone (269) 646-9321
Other providers in Marcellus, MI
- Janice Parmeter
- Mallory Nicole Schrock
- Karly J Simpson
- Deborah Jean Spencer
- Ann Marie Springsteen
- Three Rivers Health System, Inc
All providers in Marcellus, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.