Individual provider Active NPI

Catherine Mary Stanziola, LMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1598260366
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097011 Issued in MI
Practice address
16477 Andover CT
Clinton TWP, MI 48035-1100
Phone
(586) 206-9270
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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 6801097011 MI Primary

Addresses

Primary practice location

16477 Andover CT
Clinton TWP, MI 48035-1100

Mailing address

16477 Andover CT
Clinton TWP, MI 48035-1100
Phone (586) 206-9270

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
I20221119000209 MI Practitioner - Clinical Social Worker 6103294327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53200 Van Dyke Ave
Suite 100
Shelby Township, MI 48316-2599
Phone (586) 206-9270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Silver Circle Counseling and Therapeutic Services, PLLC CurrentSince Oct 31, 2022 Accepting new patients

Locations

53200 Van Dyke Ave
Ste 100
Shelby Township, MI 48316
Phone (586) 206-9270

Interoperability endpoints

  • Direct secure messaging: catherinestanziola@tdh.allscriptsdirect.net

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1598260366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16477 ANDOVER CT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351100",
            "telephone_number": "586-206-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16477 ANDOVER CT",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480351100",
            "telephone_number": "586-206-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANZIOLA",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.