Active NPI
Jessica D. Nespolo, LMSW
- Social Worker
- Troy, MI
National Provider Identifier
1457791089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 89 W South Blvd Ste 200
Troy, MI 48085-1612 - Phone
- (191) 680-0693
- NPI assigned
- Jun 27, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3356649 | MI | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
89 W South Blvd Ste 200
Troy, MI 48085-1612
Mailing address
18316 Middlebelt Rd
Livonia, MI 48152-5007
Phone (248) 615-9730
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 |
|---|---|---|---|
| 3356649 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1457791089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18316 MIDDLEBELT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481525007",
"telephone_number": "248-615-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W SOUTH BLVD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480851612",
"telephone_number": "191-680-0693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESPOLO",
"first_name": "JESSICA",
"middle_name": "D.",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "3356649",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.