MARY JAMESON (MSW) – Clinical Social Worker, NPI 1992106702

MARY JAMESON (MSW) is a healthcare provider. based in Alpena, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 6801089518 (MI). The NPI Number for MARY JAMESON (MSW) is 1992106702

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MARY JAMESON (MSW)
NPI
1992106702
Phone
(989) 356-2161
Address
400 JOHNSON ST
Enumeration Date
11 September 2014
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347071052
Graduation Year
2007 (19 years ago)
PAC ID
9739414228
Group Practice PAC ID
5092081687
Professional Enrollment ID
I20190703002210
Address ID
MI481046827AN2500XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MARY JAMESON (MSW)

  • 400 JOHNSON ST

    ALPENA, MI 497071434

    Phone: (989) 356-2161

    Fax: (989) 354-5898

    Type: Mailing

  • 15774 STATE ST

    HILLMAN, MI 497467961

    Phone: (989) 742-4583

    Fax: (989) 742-2183

    Type: Location

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: 2019-07-03

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
I20190703002210IClinical 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 49707)

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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: 5092081687View full group profile
NameSpecialtyState
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantMI
P S Y C H I A T R YMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How is MARY JAMESON (MSW) identified in CMS data?
CMS-hosted NPPES data lists MARY JAMESON (MSW) with NPI 1992106702.
Does the file indicate MARY JAMESON (MSW) is practicing under active NPI?
Directory data currently reports MARY JAMESON (MSW) as active.
What is MARY JAMESON (MSW)'s primary classification?
Clinical Social Worker is the headline specialty for MARY JAMESON (MSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for MARY JAMESON (MSW)?
MARY JAMESON (MSW)'s geographic hint is Alpena, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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