Individual provider Active NPI

Merry Esther Porter, MSW, ACSW, LMSW

  • Social Worker
  • Grand Blanc, MI
National Provider Identifier
1962413831
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801005324 Issued in MI
Practice address
12002 Murray St
Grand Blanc, MI 48439-9388
Phone
(517) 281-8703
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801005324 MI Primary
Clinical Social Worker 1041C0700X 6801005324 MI

Addresses

Primary practice location

12002 Murray St
Grand Blanc, MI 48439-9388

Mailing address

12002 Murray St
Grand Blanc, MI 48439-9388

Other practice location 1

2901 E Grand River Ave
Howell, MI 48843-8548
Phone (517) 548-1537

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000606 MI Practitioner - Clinical Social Worker 4880604131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Analytic Consultants Outpatient Clinic,PCGroup PAC ID 8820011364, 2 clinicians

Practice addresses (Care Compare)

2901 E Grand River Ave
Howell, MI 48843-8548
Phone (517) 548-1537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Analytic Consultants Outpatient Clinic, PC Clinical CurrentSince May 1, 2006 Accepting new patients

Locations

2901 E Grand River Ave
Howell, MI 48843
Phone (517) 548-1537

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1962413831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 MURRAY ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 MURRAY ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399388",
            "telephone_number": "517-281-8703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Howell",
            "state": "MI",
            "postal_code": "488438548",
            "country_code": "US",
            "telephone_number": "517-548-1537",
            "fax_number": "517-548-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MERRY",
        "middle_name": "ESTHER",
        "credential": "MSW, ACSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801005324",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801005324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.