Individual provider Active NPI

Brian Joseph Pizzimenti, BSW,LBSW

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1285760678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802083808 Issued in MI
Practice address
43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone
(586) 469-7629
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

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
Social Worker 104100000X 6802083808 MI Primary

Addresses

Primary practice location

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139

Mailing address

5649 Streefkerk Dr
Warren, MI 48092-3189
Phone (586) 983-3727

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

State licenses

LicenseStateTypeSpecialty
6802083808MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285760678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5649 STREEFKERK DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923189",
            "telephone_number": "586-983-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZIMENTI",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "credential": "BSW,LBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802083808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.