Individual provider Active NPI

Nicholas John Zielke, MSW

  • Clinical Social Worker
  • Oak Park, MI
National Provider Identifier
1477070274
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114544 Issued in MI
Practice address
13000 Burton St
Oak Park, MI 48237-1680
Phone
(586) 610-1108
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801114544 MI
Clinical Social Worker 1041C0700X 6801114544 MI Primary

Addresses

Primary practice location

13000 Burton St
Oak Park, MI 48237-1680

Mailing address

13000 Burton St
Oak Park, MI 48237-1680
Phone (586) 610-1108

Other practice location 1

1022 S Washington Ave Ste 3
Royal Oak, MI 48067-3218
Phone (586) 610-1108

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
I20220927002199 MI Practitioner - Clinical Social Worker 4385020486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13000 Burton St
Oak Park, MI 48237-1680
Phone (586) 610-1108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114544MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fortitude Counseling Services LLC Social Worker CurrentSince Aug 22, 2022 Accepting new patients

Locations

1022 S Washington Ave
Ste 3
Royal Oak, MI 48067
Phone (586) 610-1108

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1477070274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 BURTON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371680",
            "telephone_number": "586-610-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 BURTON ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371680",
            "telephone_number": "586-610-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1022 S Washington Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480673218",
            "country_code": "US",
            "telephone_number": "586-610-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELKE",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801114544",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

Verify at the official NPI Registry.