Integrative Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTEGRATIVE PSYCHOTHERAPY SERVICES LLC

Practice address

44444 Mound Rd Ste 650
Sterling Heights, MI 48314-1355

Phone

(586) 623-5095

Fax

(734) 207-5326

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Tammy Lesniak, LMSWNPI 1487026902

Title

LMSW/Owner

Phone

(586) 623-5095

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Lesniak, LMSW

  • Clinical Social Worker
  • Utica, MI
  • NPI 1487026902
  Medicare reassignment NPD Authorized official
• Stephanie Kay Warren, LMSW

  • Clinical Social Worker
  • Troy, MI
  • NPI 1407208598
  Medicare reassignment NPD
• Ann Marie Lungu, MSW

  • Social Worker
  • Utica, MI
  • NPI 1760552293
  NPD

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1467915496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44444 MOUND RD STE 650",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141355",
            "telephone_number": "586-623-5095",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44444 MOUND RD STE 650",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141355",
            "telephone_number": "586-623-5095",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "LESNIAK",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "LMSW/OWNER",
        "authorized_official_telephone_number": "586-623-5095",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487026902",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Sterling Heights, MI
• Providers in Sterling Heights, 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 Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.