Individual provider Active NPI

Charmain Rose Zapotoczny La Fountain, MSW

  • Social Worker
  • Dearborn, MI
National Provider Identifier
1043368806
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2696
Phone
(313) 271-8170
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

6 Parklane Blvd
Suite 695
Dearborn, MI 48126-2696

Mailing address

6 Parklane Blvd.
Suite 695
Dearborn, MI 48126
Phone (313) 271-8170

Other identifiers 1

IdentifierTypeStateIssuer
8008970120OtherMIBCBSM

Other names 1

  • Charmain Rose Zapotoczny Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as group
Quality
99.29
Improvement activities
40
Cost
87.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Behavioral Health Dearborn PLLC CurrentSince Jul 1, 2013 Accepting new patients

Locations

6 Parklane Blvd
Ste 695
Dearborn, MI 48126
Phone (313) 271-8170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1043368806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD.",
            "address_2": "SUITE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-271-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARKLANE BLVD",
            "address_2": "SUITE 695",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262696",
            "telephone_number": "313-271-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA FOUNTAIN",
        "first_name": "CHARMAIN",
        "middle_name": "ROSE ZAPOTOCZNY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "8008970120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAIN",
            "last_name": "ZAPOTOCZNY",
            "middle_name": "ROSE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.