Individual provider Active NPI

Rosemary Mazurek, ACSW

  • Clinical Social Worker
  • Birmingham, MI
National Provider Identifier
1528114097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801067249 Issued in MI
Practice address
700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322
Phone
(248) 882-8636
Fax
(248) 642-6832
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801067249 MI Primary

Addresses

Primary practice location

700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322

Mailing address

700 N Old Woodward Ave
Suite 300
Birmingham, MI 48009-1322
Phone (248) 882-8636

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
I20040723001201 MI Practitioner - Clinical Social Worker 6305826892 Reassigns benefits to 1 organization
Practice locations: Birmingham, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 N Old Woodward Ave
Suite 156
Birmingham, MI 48009-5307
Phone (248) 882-8636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801067249MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates -Mi PLLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528114097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-882-8636",
            "fax_number": "248-642-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N OLD WOODWARD AVE",
            "address_2": "SUITE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091322",
            "telephone_number": "248-882-8636",
            "fax_number": "248-642-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "ROSEMARY",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.