MARY BLEYAERT – Clinical Social Worker, NPI 1942393558

MARY BLEYAERT is a healthcare provider. based in Plymouth, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 6801002263 (MI). The NPI Number for MARY BLEYAERT is 1942393558

Main info

Female
Sole Proprietor
56 Years Of Experience
Accepts Medicare Assignment
Name
MARY BLEYAERT
NPI
1942393558
Phone
(810) 744-3600
Address
42189 ANN ARBOR RD E
Enumeration Date
2 October 2006
Last Update Date
5 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344535603
Graduation Year
1970 (56 years ago)
PAC ID
0345376893
Group Practice PAC ID
2769837186
Professional Enrollment ID
I20100413000043
Address ID
MI481704370PL42189EXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

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Provider Addresses for MARY BLEYAERT

  • Ann Arbor Road, Plymouth Township, Wayne County, Michigan, 48170, United States

    PLYMOUTH, MI 481704370

    Phone: (810) 744-3600

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100413000043IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 48170)

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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: 2769837186View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical Social WorkerMI

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Frequently asked questions

What is the standard ID for MARY BLEYAERT in the U.S.?
In the U.S., MARY BLEYAERT is identified by NPI 1942393558.
Does the public listing show MARY BLEYAERT as active?
MARY BLEYAERT's NPI record reflects an active status in NPPES.
Which specialty label fits MARY BLEYAERT?
NPPES ties MARY BLEYAERT to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MARY BLEYAERT in Plymouth, Michigan?
For routing, start with Plymouth, Michigan for MARY BLEYAERT, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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