Organization Active NPI

Sieradzki & Associates PLLC

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1619604535
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SIERADZKI & ASSOCIATES PLLC
Practice address
41 Washington Ave Ste 368
Grand Haven, MI 49417-1378
Phone
(231) 286-9172
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Stephanie Sue Sieradzki, LMSWNPI 1013309228
Title
Social Worker/Provider
Phone
(231) 286-9172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

41 Washington Ave Ste 368
Grand Haven, MI 49417-1378

Mailing address

2004 Forest Park Rd
Norton Shores, MI 49441-4516
Phone (231) 286-9172

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1619604535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FOREST PARK RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414516",
            "telephone_number": "231-286-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON AVE STE 368",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171378",
            "telephone_number": "231-286-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERADZKI & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SIERADZKI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SOCIAL WORKER/PROVIDER",
        "authorized_official_telephone_number": "231-286-9172",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.