Individual provider Active NPI

Gregory Paul Drozdowski

  • Clinical Social Worker
  • Canton, MI
National Provider Identifier
1245264043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801046303 Issued in MI
Practice address
6223 N Canton Center Rd
210
Canton, MI 48187-2696
Phone
(734) 737-1200
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801046303 MI Primary

Addresses

Primary practice location

6223 N Canton Center Rd
210
Canton, MI 48187-2696

Mailing address

15333 Alpine Dr
Livonia, MI 48154-2635
Phone (734) 432-9832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001927 MI Practitioner - Clinical Social Worker 0345655759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801046303MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Williams, PHD, LP, PLLC CurrentSince Sep 19, 2024 Accepting new patients
Nicole Reynolds PSYD LLC Past Accepting new patients
J. Dragun, P.C. Past Accepting new patients

Locations

901 Livernois St
Ferndale, MI 48220
Phone (248) 259-1991

39319 Plymouth Rd
Ste 2
Livonia, MI 48150
Phone (248) 259-1991

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245264043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 ALPINE DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542635",
            "telephone_number": "734-432-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 N CANTON CENTER RD",
            "address_2": "210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872696",
            "telephone_number": "734-737-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZDOWSKI",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801046303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.