Individual provider Active NPI

Yelena Gouseinov, LMSW

  • Social Worker
  • Westland, MI
National Provider Identifier
1891897047
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801077748 Issued in MI
Practice address
1547 S Wayne Rd
Westland, MI 48186-5436
Phone
(734) 729-3133
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801077748 MI Primary

Addresses

Primary practice location

1547 S Wayne Rd
Westland, MI 48186-5436

Mailing address

1547 S Wayne Rd
Westland, MI 48186-5436
Phone (734) 729-3133

Other names 1

  • Yelena Zalevsky; Rachenko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Nov 7, 2024 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1891897047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865436",
            "telephone_number": "734-729-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865436",
            "telephone_number": "734-729-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUSEINOV",
        "first_name": "YELENA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801077748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "ZALEVSKY; RACHENKO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.