MARY THEEL LMSW
NPI 1689008161
Social Worker - Clinical in Capac, MI
About Mary Theel Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY THEEL LMSW (NPI 1689008161) is an individual clinical provider in Capac, Michigan, licensed in Michigan (6801097995) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Theel Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Theel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Capac, MI 48014
- Reassigned Medicare billing, Michigan enrollment
- 80 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAPAC, MI 48014
CAPAC, MI 48014
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 Mary Theel's NPI number?
The NPI number for Mary Theel is 1689008161. It was assigned to this individual provider in the NPPES registry on September 3, 2013.
Where is Mary Theel located?
Mary Theel practices at 14675 Downey Rd, Capac, MI 48014. The listed phone number is (810) 395-4343.
What is Mary Theel's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mary Theel enrolled in Medicare?
Yes. Mary Theel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Theel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Theel reassigns Medicare benefits to St Clair County Community Mental Health Authority (Capac, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Theel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Theel accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Insurance Company and Priority Health list Mary Theel 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 Mary Theel was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mary Theel, LMSW · NPI 1689008161
Clinical provider in Capac, Michigan. Individual provider, active in the CMS NPPES registry since September 3, 2013.
## Identity
- **NPI:** 1689008161 (Entity type: Individual)
- **Enumerated:** September 3, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801097995 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 14675 DOWNEY RD, Capac, MI 48014
- **Phone:** (810) 395-4343
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** St Clair County Community Mental Health Authority (NPI 1306981675, Capac, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689008161) · Data from the CMS NPPES public registry.