Active NPI
Michael Anthony Cesnik, LCSW, LMFT
- Clinical Social Worker
- Martinsville, IN
National Provider Identifier
1881679611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34002479
- Practice address
- 1175 Southview Dr
Martinsville, IN 46151-7062 - Phone
- (765) 342-6616
- Fax
- (765) 342-2169
- NPI assigned
- Dec 14, 2005
- Last updated
- Apr 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34002479 | IN | |
| Mental Health Counselor | 101YM0800X | 34002479 | IN | |
| Clinical Social Worker | 1041C0700X | 34002479 | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 35000457A | IN |
Addresses
Primary practice location
1175 Southview Dr
Martinsville, IN 46151-7062
Mailing address
645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000183406 | Other | ANTHEM PIN |
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 |
|---|---|---|---|
| 34002479 | IN | MD | Addiction (Substance Use Disorder) Counselor |
| 35000457A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Indiana, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bloomington, IN
- NPI 1972320224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241049600000",
"number": "1881679611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S ROGERS ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474032353",
"telephone_number": "812-339-1691",
"fax_number": "812-337-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 SOUTHVIEW DR",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461517062",
"telephone_number": "765-342-6616",
"fax_number": "765-342-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CESNIK",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "LCSW, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2009-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "34002479",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "34002479",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34002479",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000457A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000183406",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, IN
- Amanda Marie Burns, M.D.
- Elaine Sue Butler, RN, OCN
- Michelle Lynn Catt, NP
- Cecile's Helping Angels LLC (Cecile's Helping Angels)
- Central Indiana Proctology PC
- Sibel Cinbat, NP
- City Optical Co., Inc. (Dr. Tavel Family Eye Care)
- Morgan Clayborn
- Community Cab, LLC
- Community Partners in Prenatal Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.