Organization Active NPI

Mercuri Rose LLC

  • Clinical Social Worker
  • Holt, MI
National Provider Identifier
1952129157
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MERCURI ROSE LLC
Practice address
2450 Delhi Commerce Dr Ste 6
Holt, MI 48842-2193
Phone
(517) 295-3723
NPI assigned
Sep 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Mercuri Rose, LMSW
Title
Owner
Phone
(517) 295-3723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2450 Delhi Commerce Dr Ste 6
Holt, MI 48842-2193

Mailing address

2450 Delhi Commerce Dr Ste 6
Holt, MI 48842-2193

National Provider Directory

National Provider Directory

Locations

2450 Delhi Commerce Dr
Ste 6
Holt, MI 48842
Phone (517) 295-3723

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1952129157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 DELHI COMMERCE DR STE 6",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 DELHI COMMERCE DR STE 6",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422193",
            "telephone_number": "517-295-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURI ROSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MERCURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-295-3723",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.