Active NPI
Michael Ziembroski, LMSW
- Social Worker
- Canton, MI
National Provider Identifier
1740208958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801010136
- Practice address
- 6223 N Canton Center Rd
Suite 210
Canton, MI 48187-2696 - Phone
- (734) 737-1200
- Fax
- (734) 737-1205
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801010136 | MI | Primary |
Addresses
Primary practice location
6223 N Canton Center Rd
Suite 210
Canton, MI 48187-2696
Mailing address
6223 N Canton Center Rd
Suite 210
Canton, MI 48187-2696
Phone (734) 737-1200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801010136 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Past | Accepting new patients |
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.
-
- Psychologist
- Taylor, MI
- NPI 1295866135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740208958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6223 N CANTON CENTER RD",
"address_2": "SUITE 210",
"city": "CANTON",
"state": "MI",
"postal_code": "481872696",
"telephone_number": "734-737-1200",
"fax_number": "734-737-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 N CANTON CENTER RD",
"address_2": "SUITE 210",
"city": "CANTON",
"state": "MI",
"postal_code": "481872696",
"telephone_number": "734-737-1200",
"fax_number": "734-737-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEMBROSKI",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801010136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.