Individual provider Active NPI

Michelle Gray Zielenski, LCSW-C

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1235227216
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005875 Issued in VA
Practice address
12725 McManus Blvd
BLDG.2, Suite F&G
Newport News, VA 23602-4402
Phone
(757) 874-1676
Fax
(757) 874-2226
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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 0904005875 VA Primary

Addresses

Primary practice location

12725 McManus Blvd
BLDG.2, Suite F&G
Newport News, VA 23602-4402

Mailing address

1250 SW 27TH Ave
Suite 402
Miami, FL 33135-4741
Phone (305) 642-5255

Other identifiers 2

IdentifierTypeStateIssuer
1235227216MedicaidVA
144754OtherVAANTHEM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904005875VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Associates of Denbigh, Inc PastSince Nov 1, 2014 Accepting new patients
Luis Hines & Associates, PA PastSince Sep 25, 2008 Accepting new patients
O Yes Medical Services Inc. Past Accepting new patients

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1235227216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SW 27TH AVE",
            "address_2": "SUITE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354741",
            "telephone_number": "305-642-5255",
            "fax_number": "305-642-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 MCMANUS BLVD",
            "address_2": "BLDG.2, SUITE F&G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024402",
            "telephone_number": "757-874-1676",
            "fax_number": "757-874-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELENSKI",
        "first_name": "MICHELLE",
        "middle_name": "GRAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235227216",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "144754",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.