Individual provider Active NPI

Thad L Zaremba, L.M.S.W

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1417164484
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801014086 Issued in MI
Practice address
27172 Woodward Ave
Suite 200
Royal Oak, MI 48067-0963
Phone
(248) 546-0407
Fax
(248) 548-1925
NPI assigned
May 17, 2007
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 6801014086 MI Primary

Addresses

Primary practice location

27172 Woodward Ave
Suite 200
Royal Oak, MI 48067-0963

Mailing address

27172 Woodward Ave
Suite 200
Royal Oak, MI 48067-0963
Phone (248) 546-0407

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
6801014086MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417164484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27172 WOODWARD AVE",
            "address_2": "SUITE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670963",
            "telephone_number": "248-546-0407",
            "fax_number": "248-548-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAREMBA",
        "first_name": "THAD",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801014086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, 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.