Active NPI
Kizzy Nieves
- Social Worker
- Macomb, MI
National Provider Identifier
1104427368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 52280 Cedar Mill Dr
Macomb, MI 48042-5658 - Phone
- (313) 346-7966
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801106387 | MI | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
52280 Cedar Mill Dr
Macomb, MI 48042-5658
Mailing address
52280 Cedar Mill Dr
Macomb, MI 48042-5658
Phone (313) 346-7966
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801106387 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Community Living, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1104427368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52280 CEDAR MILL DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480425658",
"telephone_number": "313-346-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52280 CEDAR MILL DR",
"city": "MACOMB",
"state": "MI",
"postal_code": "480425658",
"telephone_number": "313-346-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "KIZZY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-12-22",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801106387",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.