MARISSA SHIELDS LMSW
NPI 1104525294
Social Worker in Northville, MI

Active since February 27, 2023PECOS Enrolled
21500 HAGGERTY RD STE 350, NORTHVILLE, MI 48167(734) 265-0841 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Feb 27, 2023 (2 updates tracked since 2023).

About Marissa Shields Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA SHIELDS LMSW (NPI 1104525294) is an individual social worker in Northville, Michigan, licensed in Michigan (6801115454) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1104525294
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARISSA SHIELDSCredential: LMSW
Location Address21500 HAGGERTY RD STE 350Northville, MI 48167-8992
Mailing Address21500 Haggerty Rd Ste 350Northville, MI 48167-8992 · (734) 265-0841
Sole ProprietorNo
Enumeration DateFebruary 27, 2023
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1104525294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6801115454
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801115454 (MI)
21500 HAGGERTY RD STE 350, Northville, MI 48167

Secondary Practice Location 1

Location 13901 Chrysler Dr Ste 3BDetroit, MI 48201-2167 · Phone (313) 577-3908

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marissa Shields Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
21500 HAGGERTY RD STE 350
NORTHVILLE, MI 48167
Psychologist
21500 HAGGERTY RD STE 350
NORTHVILLE, MI 48167
Counselor
21500 HAGGERTY RD STE 350
NORTHVILLE, MI 48167
Social Worker
21500 HAGGERTY RD STE 350
NORTHVILLE, MI 48167
Psychologist
21500 HAGGERTY RD STE 350
NORTHVILLE, MI 48167
Counselor (Professional)
21500 HAGGERTY RD STE 350
NORTHVILLE, MI 48167

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Shields's NPI number?

The NPI number for Marissa Shields is 1104525294. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Marissa Shields located?

Marissa Shields practices at 21500 Haggerty Rd Ste 350, Northville, MI 48167. The listed phone number is (734) 265-0841.

What is Marissa Shields's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Marissa Shields enrolled in Medicare?

Yes. Marissa Shields is registered in the Medicare PECOS enrollment system.

What insurance does Marissa Shields accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Marissa Shields as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Shields was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.