Individual provider Active NPI

Mia Serena Apruzzese

  • Clinical Social Worker
  • Trenton, MI
National Provider Identifier
1689246308
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851109750 Issued in MI
Practice address
1660 Fort St
Trenton, MI 48183-2003
Phone
(734) 304-4159
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 6851109750 MI Primary

Addresses

Primary practice location

1660 Fort St
Trenton, MI 48183-2003

Mailing address

3141 Palmetto CT
Trenton, MI 48183-3937
Phone (734) 262-3223

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
6851109750MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psygenics Inc Clinical CurrentSince Jul 25, 2021 Accepting new patients

Locations

1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159

Organizations & group practices 1

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1689246308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 PALMETTO CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833937",
            "telephone_number": "734-262-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832003",
            "telephone_number": "734-304-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APRUZZESE",
        "first_name": "MIA",
        "middle_name": "SERENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851109750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.