Active NPI
Katelin Zylka LMSW, PLLC
- Social Worker
- Livonia, MI
National Provider Identifier
1073248993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221229002132 | MI | Part B Supplier - Clinic/Group Practice | 8921478348 | Practice locations: Livonia, MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counselor
- Livonia, MI
- NPI 1902419161
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.