Individual provider Active NPI

Leigh M Czerwinski, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Shelby TWP, MI
National Provider Identifier
1003185695
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
50920 Van Dyke Ave
Shelby TWP, MI 48317-1367
Phone
(586) 307-4757
Fax
(855) 393-6740
NPI assigned
Dec 28, 2011
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

50920 Van Dyke Ave
Shelby TWP, MI 48317-1367

Mailing address

50920 Van Dyke Ave
Shelby TWP, MI 48317-1367
Phone (586) 980-9544

Other practice location 1

6504 28th St SE # Q1
Grand Rapids, MI 49546-6959
Phone (616) 551-3381

Other practice location 2

4410 W 13 Mile Rd
Royal Oak, MI 48073-6515
Phone (586) 307-4757

Other names 1

  • Ms. Leigh M Foster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1003185695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50920 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171367",
            "telephone_number": "586-980-9544",
            "fax_number": "855-393-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50920 VAN DYKE AVE",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483171367",
            "telephone_number": "586-307-4757",
            "fax_number": "855-393-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6504 28th St SE # Q1",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466959",
            "country_code": "US",
            "telephone_number": "616-551-3381",
            "fax_number": "855-393-6740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736515",
            "country_code": "US",
            "telephone_number": "586-307-4757",
            "fax_number": "855-393-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CZERWINSKI",
        "first_name": "LEIGH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "FOSTER",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.