Constance Iezzi, MASTER SOCIAL WORKER

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801074134 Issued in MI

Practice address

1101 W University Dr
Rochester, MI 48307-1863

Phone

(248) 652-5000

Fax

(248) 650-9160

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Resolve

  • Community/Behavioral Health Agency
  • Rochester, MN
  • NPI 1306580477
  NPD Authorized official
• Aspire Therapy Services, PLLC

  • Psychologist
  • Farmington Hills, MI
  • NPI 1093190100
  NPD (past)
• Senior Counseling Services, LLC

  • Clinical Psychologist
  • Farmington Hills, MI
  • NPI 1639283492
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154454072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000",
            "fax_number": "248-650-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5000",
            "fax_number": "248-650-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IEZZI",
        "first_name": "CONSTANCE",
        "credential": "MASTER SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801074134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahed Muhammad Hussain, MD
• Mujeebulla Shah Syed Hussaini, MD
• Beverly Huszarik, M.D.
• I M Elite
• Firas Ido, M.D.
• Hasan Ilyas
• Anna Katharine Inoue, DPT
• Inpatient Hospitalists and Internists, PC
• Insightful Counseling LLC
• Integrative Insight LLC

• Social Worker in Rochester, MI
• Providers in Rochester, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.