Individual provider Active NPI

Paul Kowalski, MSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1326403411
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098516 Issued in MI
Practice address
850 Stephenson Hwy Ste 210
Troy, MI 48083-1151
Phone
(248) 585-3239
NPI assigned
Dec 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 6801098516 MI Primary

Addresses

Primary practice location

850 Stephenson Hwy Ste 210
Troy, MI 48083-1151

Mailing address

850 Stephenson Hwy Ste 210
Troy, MI 48083-1151
Phone (248) 585-3239

Other practice location 1

42140 Van Dyke Ave
Suite 150
Sterling Heights, MI 48314-3677
Phone (313) 530-3806

Other practice location 2

42140 Van Dyke Ave
Suite 150
Sterling Heights, MI 48314-3677
Phone (313) 530-3806

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
I20171129001641 MI Practitioner - Clinical Social Worker 6103183181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098516MIMDClinical Social Worker

Organizations & group practices 1

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": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326403411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STEPHENSON HWY STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831151",
            "telephone_number": "248-585-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STEPHENSON HWY STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831151",
            "telephone_number": "248-585-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42140 Van Dyke Ave",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483143677",
            "country_code": "US",
            "telephone_number": "313-530-3806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42140 Van Dyke Ave",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483143677",
            "country_code": "US",
            "telephone_number": "313-530-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.