Nicolle Tsertos

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1200 N Telegraph Rd BLDG 32E
Pontiac, MI 48341-1032

Phone

(248) 464-6055

NPI assigned

Jul 13, 2018

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)

Not enrolled

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1184100091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W GOULSON AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301770",
            "telephone_number": "248-295-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD BLDG 32E",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032",
            "telephone_number": "248-464-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSERTOS",
        "first_name": "NICOLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Trolz, PA-C
• True Legendary Services (Legendary services)
• Trusted Hands L.L.C.
• Jann E. Trzeciak, D.O.
• Chaunta Tsegaye
• Alexander Tsibulski, MD
• Andrea Alexis Tucker, DDS
• Eureka Tuckerbush
• Andrew Michael Tudosie, DO
• Diane Mae Tunison, TLLP

• Social Worker in Pontiac, MI
• Providers in Pontiac, 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 13, 2018; 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.