Individual provider Active NPI

Diana Louise Tomezak, MASTERS SOCIAL WORK

  • Clinical Social Worker
  • Grosse Pointe Woods, MI
National Provider Identifier
1598527459
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064063 Issued in MI
Practice address
1675 Fairholm
Grosse Pointe Woods, MI 48236
Phone
(248) 376-0935
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 6801064063 MI Primary

Addresses

Primary practice location

1675 Fairholm
Grosse Pointe Woods, MI 48236

Mailing address

20937 Park Place LN
Clinton TWP, MI 48036
Phone (586) 925-1516

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
I20241216000784 MI Practitioner - Clinical Social Worker 3072049907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Point in Time PLLCGroup PAC ID 6608252895, 3 clinicians

Practice addresses (Care Compare)

1675 Fairholme Rd
Grosse Pointe Woods, MI 48236-2368
Phone (313) 244-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Point in Time PLLC CurrentSince Sep 19, 2024 Accepting new patients

Locations

134 W Maple St
Mason, MI 48854
Phone (517) 676-9788

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1598527459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20937 PARK PLACE LN",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-925-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 FAIRHOLM",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "248-376-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMEZAK",
        "first_name": "DIANA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MASTERS SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.