Active NPI
Giuseppina Maria Petkov, BA,LBSW
- Social Worker
- Clinton Township, MI
National Provider Identifier
1861531295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801063294
- Practice address
- 38251 S Groesbeck Hwy
Clinton Township, MI 48036-1929 - Phone
- (586) 783-0998
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- 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 | 6801063294 | MI | Primary |
Addresses
Primary practice location
38251 S Groesbeck Hwy
Clinton Township, MI 48036-1929
Mailing address
11499 27 Mile Rd
Washington, MI 48094-3915
Phone (586) 992-3352
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801063294 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861531295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11499 27 MILE RD",
"city": "WASHINGTON",
"state": "MI",
"postal_code": "480943915",
"telephone_number": "586-992-3352",
"fax_number": "586-469-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38251 S GROESBECK HWY",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480361929",
"telephone_number": "586-783-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETKOV",
"first_name": "GIUSEPPINA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "BA,LBSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801063294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, 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.