Organization Active NPI

Patricia Marciniak, LMSW Acsw LLC

  • Community/Behavioral Health Agency
  • East Lansing, MI
National Provider Identifier
1710215199
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801062760 Issued in MI
Legal business name
PATRICIA MARCINIAK, LMSW ACSW LLC
Practice address
6026 Harkson Dr
East Lansing, MI 48823-1513
Phone
(517) 332-2006
Fax
(517) 332-2006
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Ms. Patricia Marciniak, LMSW, ACSW
Title
Licensed Master Social Worker
Phone
(517) 332-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801062760 MI Primary

Addresses

Primary practice location

6026 Harkson Dr
East Lansing, MI 48823-1513

Mailing address

6026 Harkson Dr
East Lansing, MI 48823-1513
Phone (517) 332-2006

Other identifiers 1

IdentifierTypeStateIssuer
251105000OtherMIMAGELLAN BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1710215199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 HARKSON DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231513",
            "telephone_number": "517-332-2006",
            "fax_number": "517-332-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6026 HARKSON DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231513",
            "telephone_number": "517-332-2006",
            "fax_number": "517-332-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA MARCINIAK, LMSW ACSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MARCINIAK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
        "authorized_official_telephone_number": "517-332-2006",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801062760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "251105000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.