Peter Joseph Zoutendyk Jr., MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801005145 Issued in MI

Practice address

810 S Garfield Ave Ste B
Traverse City, MI 49686-2406

Phone

(231) 947-0511

NPI assigned

May 23, 2007

Last updated

Apr 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.priorityfhir.com/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter Zoutendyk, LMSW

  • Clinical Social Worker
  • Traverse City, MI
  • NPI 1508203472
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1003026758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S GARFIELD AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862406",
            "telephone_number": "231-947-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S GARFIELD AVE STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862406",
            "telephone_number": "231-947-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUTENDYK",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801005145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY",
            "identifier": "401005294",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy John Zmudka, CF-SLP
• Allison Beth Zoglio
• Elizabeth Ann Zokas, NP
• Eugene Zolotarevsky, MD
• Jonathan Bradley Zoutendam, DDS
• Anastasiya Zubaryeva, PA-C
• Jack Matthew Zuckerman, M.D.
• Amanda Zuker, LMSW
• Anne Zwart, PA-C
• Jonathan Zywicki, NP

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.