Individual provider Active NPI

Cristen Adell Zaleski, LLMSW

  • Social Worker
  • Novi, MI
National Provider Identifier
1023766680
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1023766680 Issued in MI
Practice address
44000 W 12 Mile Rd Ste 101
Novi, MI 48377-2646
Phone
(248) 226-3013
Fax
(248) 347-6479
NPI assigned
Mar 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6851114161 MI
Social Worker 104100000X 1023766680 MI Primary

Addresses

Primary practice location

44000 W 12 Mile Rd Ste 101
Novi, MI 48377-2646

Mailing address

201 E Grand River Ave Apt B
Howell, MI 48843-2271
Phone (517) 883-3012

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851114161MIMDMental Health Counselor
1023766680MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1023766680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GRAND RIVER AVE APT B",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432271",
            "telephone_number": "517-883-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD STE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772646",
            "telephone_number": "248-226-3013",
            "fax_number": "248-347-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALESKI",
        "first_name": "CRISTEN",
        "middle_name": "ADELL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6851114161",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "1023766680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.