Individual provider Active NPI

Michele L Puzzuoli, LMSW

  • Social Worker
  • Roseville, MI
National Provider Identifier
1619028040
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801086423 Issued in MI
Practice address
18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989
Phone
(800) 693-1916
NPI assigned
Jan 14, 2007
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 6801086423 MI Primary

Addresses

Primary practice location

18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989

Mailing address

18303 E 10 Mile Rd Ste 200
Roseville, MI 48066-4989
Phone (800) 693-1916

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
I20170131000656 MI Practitioner - Clinical Social Worker 9638451461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

18303 E 10 Mile Rd
200 Great Lakes Psychology Group
Roseville, MI 48066-4989
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801086423MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Aug 3, 2022 Accepting new patients
Shorepointe Counseling P.L.C. CurrentSince May 5, 2021 Accepting new patients

Locations

18303 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (313) 445-6920

24938 Harper Ave
Saint Clair Shores, MI 48080
Phone (586) 242-0027

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1619028040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664989",
            "telephone_number": "800-693-1916",
            "fax_number": "248-422-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664989",
            "telephone_number": "800-693-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZZUOLI",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.