Active NPI
Lindsay Pietruck Bailey, MSW, LMSW
- Clinical Social Worker
- Ann Arbor, MI
National Provider Identifier
1881008506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801094602
- Practice address
- 2100 S Main St Ste a
Ann Arbor, MI 48103-6432 - Phone
- (734) 786-2626
- NPI assigned
- Jun 20, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094602 | MI | Primary |
Addresses
Primary practice location
2100 S Main St Ste a
Ann Arbor, MI 48103-6432
Mailing address
2100 S Main St Ste a
Ann Arbor, MI 48103-6432
Phone (734) 786-2626
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094602 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pietruck Therapy Services PLLC | Clinical | Current | Accepting new patients |
Locations
2100 S Main St
Ste A
Ann Arbor, MI 48103
Phone (248) 378-4163
220 Collingwood St
Ste 130
Ann Arbor, MI 48103
Phone (734) 263-6838
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": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1881008506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 S MAIN ST STE A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036432",
"telephone_number": "734-786-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 S MAIN ST STE A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036432",
"telephone_number": "734-786-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "LINDSAY",
"middle_name": "PIETRUCK",
"credential": "MSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801094602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.