Individual provider Active NPI

Abigail Zukausky, LMSW

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1710353875
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094656 Issued in MI
Practice address
4500 N Campus Ridge Dr
Midland, MI 48640-6123
Phone
(989) 839-6188
Fax
(989) 839-6221
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 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 6801094656 MI Primary

Addresses

Primary practice location

4500 N Campus Ridge Dr
Midland, MI 48640-6123

Mailing address

4500 N Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 839-6188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094656MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Counseling and Case Management, LLC Clinical CurrentSince Oct 10, 2023 Accepting new patients

Locations

3298 Veterans Dr
Ste 1
Traverse City, MI 49684
Phone (231) 715-1491

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1710353875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406123",
            "telephone_number": "989-839-6188",
            "fax_number": "989-839-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406123",
            "telephone_number": "989-839-6188",
            "fax_number": "989-839-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKAUSKY",
        "first_name": "ABIGAIL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.