Organization Active NPI

Katelin Zylka LMSW, PLLC

  • Social Worker
  • Livonia, MI
National Provider Identifier
1073248993
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KATELIN ZYLKA LMSW, PLLC
Practice address
39325 Plymouth Rd Ste 202
Livonia, MI 48150-4531
Phone
(734) 404-5835
NPI assigned
Jul 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Katelin Zylka, LMSW
Title
Owner
Phone
(248) 892-9497

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

39325 Plymouth Rd Ste 202
Livonia, MI 48150-4531

Mailing address

16918 Comstock St
Livonia, MI 48154-1608
Phone (248) 892-9497

Other names 1

  • Desert Bloom Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221229002132 MI Part B Supplier - Clinic/Group Practice 8921478348 Practice locations: Livonia, MI

National Provider Directory

National Provider Directory

Locations

39325 Plymouth Rd
Ste 202
Livonia, MI 48150
Phone (248) 892-9497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1073248993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16918 COMSTOCK ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541608",
            "telephone_number": "248-892-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39325 PLYMOUTH RD STE 202",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504531",
            "telephone_number": "734-404-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELIN ZYLKA LMSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "ZYLKA",
        "authorized_official_first_name": "KATELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-892-9497",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Bloom Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Bloom Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.