Individual provider Active NPI

Deborah A Culik, LMSW

  • Clinical Social Worker
  • Adrian, MI
National Provider Identifier
1427396605
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058528 Issued in MI
Practice address
220 N Main St
Adrian, MI 49221-2749
Phone
(517) 265-5352
Fax
(517) 263-6090
NPI assigned
Jan 23, 2013
Last updated
Jan 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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 6801058528 MI Primary

Addresses

Primary practice location

220 N Main St
Adrian, MI 49221-2749

Mailing address

220 N Main St
Adrian, MI 49221-2749
Phone (517) 265-5352

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
I20141104000799 MI Practitioner - Clinical Social Worker 8426270661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6650 S Occidental Rd
Tecumseh, MI 49286-9703
Phone (734) 717-9447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Behavioral Therapies LLC Clinical CurrentSince Jul 14, 2017 Accepting new patients
Patricia J Lafave P H D & Associates P C CurrentSince Nov 1, 2014 Accepting new patients
Masterpeace Center for Counseling & Development CurrentSince Nov 14, 2014 Accepting new patients
Masterpeace Center for Counseling & Development PastSince Nov 14, 2014 Accepting new patients
Family Counseling and Children's Services Past Accepting new patients

Locations

3101 Spring Arbor Rd
Ste 100
Jackson, MI 49203
Phone (517) 782-2442

308 S Maumee St
Tecumseh, MI 49286
Phone (517) 423-6889

Organizations & group practices 5

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": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1427396605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212749",
            "telephone_number": "517-265-5352",
            "fax_number": "517-263-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212749",
            "telephone_number": "517-265-5352",
            "fax_number": "517-263-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULIK",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.