Marjorie a Soper P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801063883 Issued in MI

Legal business name

MARJORIE A SOPER P.C.

Practice address

12751 S Saginaw St
Ste 700
Grand Blanc, MI 48439-2751

Phone

(810) 579-5757

Fax

(810) 579-5757

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marjorie A Soper, LMSW, CSW

Title

Therapist

Phone

(810) 579-5757

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1821147638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 ATLAS RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238707",
            "telephone_number": "810-579-5757",
            "fax_number": "810-579-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 S SAGINAW ST",
            "address_2": "STE 700",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392751",
            "telephone_number": "810-579-5757",
            "fax_number": "810-579-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJORIE A SOPER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "810-579-5757",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "38-1213512",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MICHIGAN",
            "identifier": "800894156",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "037804",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "39940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2053431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M Marchetta, DO
• Paul J Marcinkoski, DPT
• Monir Radwan Mardini, MD
• Divine Joi Mares
• Dennis Michael Marien, PA
• Mark J Lodge
• Andrea Markell, LMSW
• Daniel L Markley, OD
• Lauren Marko, PA
• Matthew J. Marquart, DO

• Clinical Social Worker in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.