Individual provider Active NPI

Donna Spicuzzi, MSW

  • Social Worker
  • Sterling Heights, MI
National Provider Identifier
1225509516
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
12900 Hall Rd Ste 200
Sterling Heights, MI 48313-1150
Phone
(800) 451-0481
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

12900 Hall Rd Ste 200
Sterling Heights, MI 48313-1150

Mailing address

21050 Young Dr
Macomb, MI 48044-1376
Phone (586) 747-5434

Other identifiers 1

IdentifierTypeStateIssuer
6801046715OtherMIMICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS

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

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1225509516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21050 YOUNG DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441376",
            "telephone_number": "586-747-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 HALL RD STE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131150",
            "telephone_number": "800-451-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICUZZI",
        "first_name": "DONNA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "6801046715",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.