Active NPI
Mariah Evelyn Dennard, LLMSW
- Social Worker
- Walled Lake, MI
National Provider Identifier
1881007052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801096695
- Practice address
- 1010 E West Maple Rd
Walled Lake, MI 48390-3571 - Phone
- (248) 313-2900
- NPI assigned
- Jun 5, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6801096695 | MI | |
| Case Manager/Care Coordinator | 171M00000X | 6801096695 | MI | |
| Social Worker | 104100000X | 6801096695 | MI | Primary |
Addresses
Primary practice location
1010 E West Maple Rd
Walled Lake, MI 48390-3571
Mailing address
1010 E West Maple Rd
Walled Lake, MI 48390-3571
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pcerecords.essmichigan@direct.mihin.net | Easterseals MORC Health Care, Inc. |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801096695 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1881007052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E WEST MAPLE RD",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E WEST MAPLE RD",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903571",
"telephone_number": "248-313-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNARD",
"first_name": "MARIAH",
"middle_name": "EVELYN",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6801096695",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6801096695",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801096695",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pcerecords.essmichigan@direct.mihin.net",
"affiliation": "Y",
"affiliationName": "Easterseals MORC Health Care, Inc.",
"address_1": "1010 E West Maple Rd",
"city": "Walled Lake",
"state": "MI",
"country_code": "US",
"postal_code": "483903571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Walled Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.