Mary Jill Messer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801004394 Issued in MI

Practice address

1151 Michigan Ave
Ste 106
East Lansing, MI 48823-4069

Phone

(517) 332-7105

Fax

(517) 372-2542

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1881777472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 MICHIGAN AVE",
            "address_2": "STE 106",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234069",
            "telephone_number": "517-332-7105",
            "fax_number": "517-372-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MICHIGAN AVE",
            "address_2": "STE 106",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234069",
            "telephone_number": "517-332-7105",
            "fax_number": "517-372-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSER",
        "first_name": "MARY",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801004394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "800890440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5080717",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "356443",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6276191",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Menhart, FNP
• Shelby Taylor Mercier, DC
• Meridian Professional Psychological Consultants
• Elizabeth Ann Merrifield, MS, OTRL
• Mesohealth, PC
• Edmund J Messina, MD
• Tanina Messina
• Brooke Denae Metiva, CRNA
• Sonny Murata Metoki
• Chloe Metzger

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, 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 Dec 17, 2010; 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.