Individual provider Active NPI

Mary Deneau, LMSW

  • Clinical Social Worker
  • Dexter, MI
National Provider Identifier
1821452061
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801099489 Issued in MI
Practice address
8658 Magnolia Way
Dexter, MI 48130-9106
Phone
(734) 408-1191
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC06229400 NJ
Social Worker 104100000X I.2203611 OH
Clinical Social Worker 1041C0700X 6801099489 MI Primary

Addresses

Primary practice location

8658 Magnolia Way
Dexter, MI 48130-9106

Mailing address

7050 Dexter Ann Arbor Rd Ste 300
Dexter, MI 48130-8659
Phone (734) 408-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06229400NJMDSocial Worker
I.2203611OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeia PLLC Social Worker CurrentSince Oct 15, 2024 Accepting new patients

Locations

306 S Washington Ave
Ste 205
Royal Oak, MI 48067
Phone (248) 581-4659

888 W Big Beaver Rd
Ste 780
Troy, MI 48084
Phone (248) 270-5660

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1821452061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 DEXTER ANN ARBOR RD STE 300",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308659",
            "telephone_number": "734-408-1191",
            "fax_number": "888-809-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8658 MAGNOLIA WAY",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309106",
            "telephone_number": "734-408-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEAU",
        "first_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06229400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2203611",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.