Individual provider Active NPI

Heidi Lynn Dijak, LMSW, CAADC

  • Social Worker
  • Saginaw, MI
National Provider Identifier
1578693164
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801046978 Issued in MI
Practice address
3400 S Washington Rd
Saginaw, MI 48601-4958
Phone
(989) 755-1072
Fax
(989) 755-1401
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801046978 MI Primary

Addresses

Primary practice location

3400 S Washington Rd
Saginaw, MI 48601-4958

Mailing address

3491 8 Mile Rd
Auburn, MI 48611-9744
Phone (989) 662-6239

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
I20201217002934 MI Practitioner - Clinical Social Worker 4789096694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801046978MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Dec 14, 2020 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Dec 14, 2020 Accepting new patients

Locations

3023 Davenport Ave
Saginaw, MI 48602
Phone (989) 907-2761

3400 S Washington Rd
Saginaw, MI 48601
Phone (989) 755-1072

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1578693164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 8 MILE RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119744",
            "telephone_number": "989-662-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S WASHINGTON RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486014958",
            "telephone_number": "989-755-1072",
            "fax_number": "989-755-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIJAK",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801046978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.