Active NPI
Nichole Marie Huziak
- Clinical Social Worker
- Lincoln Park, MI
National Provider Identifier
1558823492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801103664
- Practice address
- 26184 Outer Dr
Lincoln Park, MI 48146-2084 - Phone
- (313) 389-7500
- NPI assigned
- Apr 1, 2019
- Last updated
- Dec 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801103664 | MI | Primary |
Addresses
Primary practice location
26184 Outer Dr
Lincoln Park, MI 48146-2084
Mailing address
15000 Gratiot Ave
Detroit, MI 48205-1973
Phone (313) 245-0600
Other practice location 1
26184 W. Outer Dr
Lincoln Park, MI 48146-2084
Phone (313) 389-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6801103664 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nhuziak@comcareserv.org |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801103664 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1558823492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 GRATIOT AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482051973",
"telephone_number": "313-245-0600",
"fax_number": "313-839-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26184 OUTER DR",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462084",
"telephone_number": "313-389-7500"
}
],
"practiceLocations": [
{
"address_1": "26184 W. Outer Dr",
"address_purpose": "LOCATION",
"city": "Lincoln Park",
"state": "MI",
"postal_code": "481462084",
"country_code": "US",
"telephone_number": "313-389-7500",
"fax_number": "313-389-7510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUZIAK",
"first_name": "NICHOLE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801103664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6801103664",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nhuziak@comcareserv.org",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "26184 Outer Dr",
"city": "Lincoln Park",
"state": "MI",
"country_code": "US",
"postal_code": "481462084",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.