Active NPI
Sheila Marie Wolak, LMSW ACSW
- Clinical Social Worker
- St Clair, MI
National Provider Identifier
1437110475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801065848
- Practice address
- 1322 North River Rd
St Clair, MI 48079 - Phone
- (810) 329-4798
- Fax
- (810) 329-7303
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801065848 | MI | Primary |
Addresses
Primary practice location
1322 North River Rd
St Clair, MI 48079
Mailing address
9175 Maynard Drive
Clay, MI 48001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 742008 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801065848 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norserv Group LTD | Past | Accepting new patients | |
| St Clair County Community Mental Health Authority | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- St Clair, MI
- NPI 1619934650
-
- Community/Behavioral Health Agency
- Marine City, MI
- NPI 1821133265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1437110475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9175 MAYNARD DRIVE",
"city": "CLAY",
"state": "MI",
"postal_code": "48001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 NORTH RIVER RD",
"city": "ST CLAIR",
"state": "MI",
"postal_code": "48079",
"telephone_number": "810-329-4798",
"fax_number": "810-329-7303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLAK",
"first_name": "SHEILA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801065848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "742008",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Clair, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.