Active NPI
Michelle Gray Zielenski, LCSW-C
- Clinical Social Worker
- Newport News, VA
National Provider Identifier
1235227216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235227216 | Medicaid | VA | |
| 144754 | Other | VA | ANTHEM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904005875 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Associates of Denbigh, Inc | Past | Accepting new patients | |
| Luis Hines & Associates, PA | Past | 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.
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- NPI 1336220938
-
- Mental Health Counselor
- Coral Gables, FL
- NPI 1558357475
-
- Specialist
- North Miami, FL
- NPI 1215912985
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.