Individual provider Active NPI

Loretta Ann Bobzien, LMSW CAADC

  • Clinical Social Worker
  • Hillsdale, MI
National Provider Identifier
1053679183
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085745 Issued in MI
Practice address
239 W Carleton Rd
Hillsdale, MI 49242-5033
Phone
(517) 610-6816
Fax
(517) 721-7870
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085745 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-02982 MI

Addresses

Primary practice location

239 W Carleton Rd
Hillsdale, MI 49242-5033

Mailing address

239 W Carleton Rd
Hillsdale, MI 49242-5033
Phone (517) 610-6816

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
C-02982MIMDAddiction (Substance Use Disorder) Counselor
6801085745MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Therapy LLC Past Accepting new patients

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1053679183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425033",
            "telephone_number": "517-610-6816",
            "fax_number": "517-721-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492425033",
            "telephone_number": "517-610-6816",
            "fax_number": "517-721-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBZIEN",
        "first_name": "LORETTA",
        "middle_name": "ANN",
        "credential": "LMSW CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085745",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.