Nancy Lynn Wucetich, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801011991 Issued in MI

Practice address

2351 12 Mile Rd
Berkley, MI 48072-1826

Phone

(248) 544-4006

Fax

(248) 544-4113

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Nancy Lynn West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/oaklandfamilyservices/r4/

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.

• Macomb Family Services, Inc

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1326599036
  NPD (past)
• Macomb Family Services, Inc.

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1831190701
  NPD (past)
• Oakland Family Services

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1003003617
  NPD (past)
• Oakland Family Services

  • Clinic/Center
  • Pontiac, MI
  • NPI 1598719395
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1467529503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 W 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721826",
            "telephone_number": "248-544-4004",
            "fax_number": "248-544-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 12 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721826",
            "telephone_number": "248-544-4006",
            "fax_number": "248-544-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUCETICH",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801011991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1883825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WEST",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "CSW, LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claire Wilson
• Leia Wolfe, RSST, CAC1
• Woodward Detroit CVS, L.L.C.
• Woodward Gastroenterology PC
• Lauren Worth, DO
• Silvana Xhajaj, FNP, BC
• Dennis Yager, SWT, CAC1
• Raegan Yerington
• Noor Yono, PHARMD
• Caleb Anthony Youngblood, MMS, PA-C

• Clinical Social Worker in Berkley, MI
• Providers in Berkley, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.