Individual provider Active NPI

Emily Bosnack, LMSW

  • Clinical Social Worker
  • Waterford, MI
National Provider Identifier
1285355313
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
497 Scott Lake Rd
Waterford, MI 48328-3153
Phone
(248) 622-9322
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 Primary

Addresses

Primary practice location

497 Scott Lake Rd
Waterford, MI 48328-3153

Mailing address

497 Scott Lake Rd
Waterford, MI 48328-3153
Phone (248) 622-9322

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
I20260526004014 MI Practitioner - Clinical Social Worker 8921578469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

497 Scott Lake Rd
Waterford, MI 48328-3153

5736 Williams Lake Rd
Waterford, MI 48329-3274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Place Counseling LLC Dba Treeside Psychological Clinic Mental Health CurrentSince May 25, 2025 Accepting new patients
Strong and Free Company LLC Clinical Current Accepting new patients

Locations

45 N Lapeer St
Lake Orion, MI 48362
Phone (248) 693-9614

Organizations & group practices 2

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1285355313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 SCOTT LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283153",
            "telephone_number": "248-622-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 SCOTT LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283153",
            "telephone_number": "248-622-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSNACK",
        "first_name": "EMILY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.