Individual provider Active NPI

Marya Josefa Drygalski, MSW, CEAP

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1366456600
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801060215 Issued in MI
Practice address
24401 Capital Blvd
Clinton Township, MI 48036-1343
Phone
(586) 783-2940
NPI assigned
Jul 29, 2006
Last updated
Aug 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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 6801060215 MI Primary

Addresses

Primary practice location

24401 Capital Blvd
Clinton Township, MI 48036-1343

Mailing address

116 Market St
Mount Clemens, MI 48043-5674
Phone (586) 465-4444

Other identifiers 4

IdentifierTypeStateIssuer
MD060215OtherMIBLUE CROSS BLUE SHIELD
0892947OtherMIBLUE CROSS BLUE SHIELD MI
094859000OtherMIMAGELLAN HEALTH SERVICES
139863SWOtherMICARE CHOICES HMO

Other names 1

  • Ms. Marya Josefa Ignarzak Former name

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
I20060117000954 MI Practitioner - Clinical Social Worker 8426072406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

7333 Triangle Dr
Sterling Heights, MI 48314-2318
Phone (248) 686-3347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801060215MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Oct 11, 2021 Accepting new patients
Michigan Diagnostic Alcohol and Drug Services LLC CurrentSince May 9, 2017 Accepting new patients

Locations

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

1555 W Big Beaver Rd
Troy, MI 48084
Phone (248) 764-4182

2449 E 12 Mile Rd
Warren, MI 48092
Phone (586) 510-4992

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

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, 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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1366456600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 MARKET ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435674",
            "telephone_number": "586-465-4444",
            "fax_number": "586-783-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 CAPITAL BLVD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361343",
            "telephone_number": "586-783-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYGALSKI",
        "first_name": "MARYA",
        "middle_name": "JOSEFA",
        "name_prefix": "Ms.",
        "credential": "MSW, CEAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801060215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MD060215",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0892947",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "094859000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HMO",
            "identifier": "139863SW",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYA",
            "last_name": "IGNARZAK",
            "middle_name": "JOSEFA",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.