Active NPI
Michael C Wesch
- Social Worker
- Marysville, MI
National Provider Identifier
1821422627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801098033
- Practice address
- 1600 Gratiot Blvd
Marysville, MI 48040-1145 - Phone
- (810) 388-1200
- NPI assigned
- Aug 28, 2013
- Last updated
- Oct 25, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801098033 | MI | Primary |
Addresses
Primary practice location
1600 Gratiot Blvd
Marysville, MI 48040-1145
Mailing address
3111 Electric Ave
Port Huron, MI 48060-8127
Phone (810) 388-1200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Wayne State University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3111 Electric Ave
Port Huron, MI 48060-8127
Phone (810) 985-8900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098033 | MI | MD | Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Port Huron, MI
- NPI 1689783672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1821422627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 ELECTRIC AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480608127",
"telephone_number": "810-388-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 GRATIOT BLVD",
"city": "MARYSVILLE",
"state": "MI",
"postal_code": "480401145",
"telephone_number": "810-388-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESCH",
"first_name": "MICHAEL",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801098033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.