Active NPI
Sieradzki & Associates PLLC
- Clinical Social Worker
- Grand Haven, MI
National Provider Identifier
1619604535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Sue Sieradzki, LMSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryPractitioners & 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.