Active NPI
Marsha Ann Macniell, LMSW,CSW
- Clinical Social Worker
- Mt Pleasant, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4101005776
- Practice address
- 4676 E Broomfield Rd Ste E
Mt Pleasant, MI 48858-9192 - Phone
- (989) 954-9962
- Fax
- (989) 893-0461
- NPI assigned
- Apr 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4101005776 | MI | Primary |
Addresses
Primary practice location
4676 E Broomfield Rd Ste E
Mt Pleasant, MI 48858-9192
Mailing address
1405 Crosslanes St
Mt Pleasant, MI 48858-1941
Phone (989) 327-4744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P16440008 | Other | MI | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mamacniell.com |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060105000374 | MI | Practitioner - Clinical Social Worker | 0042233082 | Practice locations: Mt Pleasant, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1405 Crosslanes St
Mount Pleasant, MI 48858-1941
4676 E Broomfield Rd
Suite E
Mt Pleasant, MI 48858-9192
Phone (989) 954-9962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101005776 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hema Talasila MD PLLC | Clinical | Current | Accepting new patients |
| Venkat Talasila | Past | Accepting new patients | |
| Catholic Family Service | Past | Accepting new patients |
Locations
200 S Wenona St
Ste G29
Bay City, MI 48706
Phone (989) 893-3212
2578 McLeod Dr N
Ste 1
Saginaw, MI 48604
Phone (989) 799-5440
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Mt. Pleasant, MI
- NPI 1881735223
-
- Mental Health Counselor
- Bay City, MI
- NPI 1942468459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1902869019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 CROSSLANES ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488581941",
"telephone_number": "989-327-4744",
"fax_number": "989-893-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4676 E BROOMFIELD RD STE E",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488589192",
"telephone_number": "989-954-9962",
"fax_number": "989-893-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACNIELL",
"first_name": "MARSHA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMSW,CSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "4101005776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "P16440008",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.mamacniell.com",
"affiliation": "N",
"address_1": "4676 E Broomfield Rd Ste E",
"city": "MT Pleasant",
"state": "MI",
"country_code": "US",
"postal_code": "488589192",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.