Individual provider Active NPI

Maristela C Zell, PH.D., LCSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1104122589
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113730 Issued in MI
Practice address
862 E Eighth St
Traverse City, MI 49686-2727
Phone
(847) 436-0759
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801113730 MI Primary

Addresses

Primary practice location

862 E Eighth St
Traverse City, MI 49686-2727

Mailing address

6710 Burr St
Benzonia, MI 49616-9625
Phone (847) 436-0759

Other practice location 1

810 Cottageview Dr Ste 101
Traverse City, MI 49684-2392
Phone (316) 422-7782

Other practice location 2

244 S Benzie Blvd
Beulah, MI 49617-5122
Phone (847) 436-0759

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6801113730MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maristela Zell, LLC Clinical CurrentSince Apr 14, 2024 Accepting new patients

Locations

862 E Eighth St
Traverse City, MI 49686
Phone (847) 436-0759

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": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1104122589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 BURR ST",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169625",
            "telephone_number": "847-436-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862727",
            "telephone_number": "847-436-0759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Cottageview Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842392",
            "country_code": "US",
            "telephone_number": "316-422-7782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "244 S Benzie Blvd",
            "address_purpose": "LOCATION",
            "city": "Beulah",
            "state": "MI",
            "postal_code": "496175122",
            "country_code": "US",
            "telephone_number": "847-436-0759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELL",
        "first_name": "MARISTELA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.