Individual provider Active NPI

Michael Joseph Makowski, MSW, ACSW, LISW, BCD

  • Clinical Social Worker
  • North Olmsted, OH
National Provider Identifier
1619989845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0001765 Issued in OH
Practice address
4859 Dover Center Rd
Suite #9
North Olmsted, OH 44070-3184
Phone
(440) 779-8880
Fax
(440) 779-9559
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 I0001765 OH Primary

Addresses

Primary practice location

4859 Dover Center Rd
Suite #9
North Olmsted, OH 44070-3184

Mailing address

4859 Dover Center Rd
Suite #9
North Olmsted, OH 44070-3184
Phone (440) 779-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I0001765OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619989845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 DOVER CENTER RD",
            "address_2": "SUITE #9",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703184",
            "telephone_number": "440-779-8880",
            "fax_number": "440-779-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 DOVER CENTER RD",
            "address_2": "SUITE #9",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703184",
            "telephone_number": "440-779-8880",
            "fax_number": "440-779-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW, ACSW, LISW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0001765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.