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MARIE DERSHEM LMSW
NPI 1578094553
Social Worker - Clinical in Grand Rapids, MI

Active since March 22, 2017PECOS Enrolled
2060 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 956-6100(616) 956-6637 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie Dershem Lmsw NPPES

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

MARIE DERSHEM LMSW (NPI 1578094553) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801096208) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578094553
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIE DERSHEMCredential: LMSW
Location Address2060 EAST PARIS AVE SE STE 100Grand Rapids, MI 49546-6113
Mailing Address2060 East Paris Ave Se Ste 100Grand Rapids, MI 49546-6113 · (616) 956-6100 · Fax (616) 956-6637
Phone(616) 956-6100
Fax(616) 956-6637
Sole ProprietorNo
Enumeration DateMarch 22, 2017
✔ NPI 1578094553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801096208
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2060 EAST PARIS AVE SE STE 100, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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)

Marie Dershem 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Marie Dershem's NPI number?

The NPI number for Marie Dershem is 1578094553. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Marie Dershem located?

Marie Dershem practices at 2060 East Paris Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 956-6100.

What is Marie Dershem's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Marie Dershem enrolled in Medicare?

Yes. Marie Dershem is registered in the Medicare PECOS enrollment system.

What insurance does Marie Dershem accept?

Health plans from Priority Health list Marie Dershem 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 Marie Dershem was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.