Active NPI
Joanne C Zelazny, LBSW, FSAC
- Social Worker
- Taylor, MI
National Provider Identifier
1881945145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802018901
- Practice address
- 20724 Eureka Rd
Taylor, MI 48180-5313 - Phone
- (734) 759-0510
- Fax
- (734) 324-3134
- NPI assigned
- Sep 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MI | ||
| Social Worker | 104100000X | 6802018901 | MI | Primary |
Addresses
Primary practice location
20724 Eureka Rd
Taylor, MI 48180-5313
Mailing address
20724 Eureka Rd
Taylor, MI 48180-5313
Phone (734) 759-0510
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 |
|---|---|---|---|
| 6802018901 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1881945145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20724 EUREKA RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805313",
"telephone_number": "734-759-0510",
"fax_number": "734-324-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20724 EUREKA RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481805313",
"telephone_number": "734-759-0510",
"fax_number": "734-324-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELAZNY",
"first_name": "JOANNE",
"middle_name": "C",
"credential": "LBSW, FSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802018901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.