NPIMap

Organization Active NPI

Joyell Nezich Counseling Services LLC

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1649609488
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801065236 Issued in MI
Legal business name
JOYELL NEZICH COUNSELING SERVICES LLC
Practice address
16950 19 Mile Rd
Suite#3
Clinton TWP, MI 48038-4804
Phone
(586) 855-5022
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Joyell Nezich, LMSW/ACSW
Title
Clinical Social Worker
Phone
(586) 665-0198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 6801065236 MI Primary

Addresses

Primary practice location

16950 19 Mile Rd
Suite#3
Clinton TWP, MI 48038-4804

Mailing address

16950 19 Mile Rd
Suite#3
Clinton TWP, MI 48038-4804
Phone (586) 855-5022

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1649609488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD",
            "address_2": "SUITE#3",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384804",
            "telephone_number": "586-855-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD",
            "address_2": "SUITE#3",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384804",
            "telephone_number": "586-855-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYELL NEZICH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "NEZICH",
        "authorized_official_first_name": "JOYELL",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "586-665-0198",
        "authorized_official_credential": "LMSW/ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.