Active NPI
Maryrita Chimovitz, LMSW, ACSW, CAC I
- Social Worker
- Bridgeport, MI
National Provider Identifier
1740319342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801070050
- Practice address
- 6379 Dixie Hwy
Bridgeport, MI 48722-9566 - Phone
- (989) 777-4357
- Fax
- (989) 777-7257
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 6801070050 | MI | Primary |
Addresses
Primary practice location
6379 Dixie Hwy
Bridgeport, MI 48722-9566
Mailing address
2383 Margaret Dr
Fenton, MI 48430-8804
Phone (810) 629-0172
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01003253 | Other | MI | HEALTH PLUS - BRIDGEPORT |
| 0996911 | Other | MI | HEALTH PLUS - SAGINAW |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740319342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2383 MARGARET DR",
"city": "FENTON",
"state": "MI",
"postal_code": "484308804",
"telephone_number": "810-629-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6379 DIXIE HWY",
"city": "BRIDGEPORT",
"state": "MI",
"postal_code": "487229566",
"telephone_number": "989-777-4357",
"fax_number": "989-777-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIMOVITZ",
"first_name": "MARYRITA",
"credential": "LMSW, ACSW, CAC I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801070050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS - BRIDGEPORT",
"identifier": "01003253",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS - SAGINAW",
"identifier": "0996911",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, 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.