Individual provider Active NPI

Diane Marie Spezia, LMSW

  • Clinical Social Worker
  • Chesterfield, MI
National Provider Identifier
1629432166
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106087 Issued in MI
Practice address
34474 23 Mile Rd
Chesterfield, MI 48047-2003
Phone
(586) 996-2273
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 6801106087 MI Primary

Addresses

Primary practice location

34474 23 Mile Rd
Chesterfield, MI 48047-2003

Mailing address

4150 Haven Rd
Leonard, MI 48367-1711
Phone (586) 243-1029

Other practice location 1

22708 Harper Ave
Saint Clair Shores, MI 48080-1823
Phone (586) 445-2210

Other practice location 2

440 W Front St Ste 150B
Traverse City, MI 49684-2265
Phone (231) 252-0809

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
I20241120001992 MI Practitioner - Clinical Social Worker 0244765717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grace Counseling IncGroup PAC ID 6507143161, 8 clinicians

Practice addresses (Care Compare)

34474 23 Mile Rd
Chesterfield, MI 48047-2003
Phone (586) 996-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106087MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling, Inc CurrentSince Oct 9, 2024 Accepting new patients
Inner Strength Healing LLC Clinical PastSince Jul 1, 2024 Accepting new patients

Locations

34474 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 996-2273

1953 Military St
Detroit, MI 48209

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1629432166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 HAVEN RD",
            "city": "LEONARD",
            "state": "MI",
            "postal_code": "483671711",
            "telephone_number": "586-243-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34474 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480472003",
            "telephone_number": "586-996-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22708 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480801823",
            "country_code": "US",
            "telephone_number": "586-445-2210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W Front St Ste 150B",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842265",
            "country_code": "US",
            "telephone_number": "231-252-0809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEZIA",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.