MARIE DERSHEM (LMSW) – Clinical Social Worker, NPI 1578094553

MARIE DERSHEM (LMSW) is a healthcare provider. based in Grand rapids, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801096208 (MI). The NPI Number for MARIE DERSHEM (LMSW) is 1578094553

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MARIE DERSHEM (LMSW)
NPI
1578094553
Phone
(616) 956-6100
Address
2060 EAST PARIS AVE SE STE 100
Enumeration Date
22 March 2017
Last Update Date
22 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169566100
Graduation Year
1996 (30 years ago)
PAC ID
5698101558
Group Practice PAC ID
2466516091
Professional Enrollment ID
I20200212002632
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for MARIE DERSHEM (LMSW)

  • East Paris Avenue Southeast, East Paris, Kentwood, Kent County, Michigan, 49512, United States

    GRAND RAPIDS, MI 495466113

    Phone: (616) 956-6100

    Fax: (616) 956-6637

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49546)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466516091View full group profile
NameSpecialtyState
Internal MedicineMI
Physician AssistantMI
General SurgeryMI
Physician AssistantMI
Internal MedicineMI
General SurgeryMI
Physician AssistantMI
-AZ
Physician AssistantMI
General SurgeryMI

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Frequently asked questions

What identifier follows MARIE DERSHEM (LMSW) across health systems?
The NPI 1578094553 uniquely identifies MARIE DERSHEM (LMSW) in U.S. healthcare data.
Does the public listing show MARIE DERSHEM (LMSW) as active?
MARIE DERSHEM (LMSW)'s NPI record reflects an active status in NPPES.
What type of care does MARIE DERSHEM (LMSW) provide?
MARIE DERSHEM (LMSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARIE DERSHEM (LMSW)?
MARIE DERSHEM (LMSW) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Can I export MARIE DERSHEM (LMSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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