Individual provider Active NPI

Theresa Louise Patlewicz, BS, SST

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1902002256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6803085445 Issued in MI
Practice address
35555 Garfield Rd
Suite 3B
Clinton Township, MI 48035-5517
Phone
(586) 792-1654
Fax
(586) 792-1656
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6803085445 MI Primary

Addresses

Primary practice location

35555 Garfield Rd
Suite 3B
Clinton Township, MI 48035-5517

Mailing address

35919 Woodridge Cir
Apt. 104
Farmington Hills, MI 48335-2224
Phone (586) 354-4641

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 Science

State licenses

LicenseStateTypeSpecialty
6803085445MIMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902002256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35919 WOODRIDGE CIR",
            "address_2": "APT. 104",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352224",
            "telephone_number": "586-354-4641",
            "fax_number": "586-792-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35555 GARFIELD RD",
            "address_2": "SUITE 3B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355517",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLEWICZ",
        "first_name": "THERESA",
        "middle_name": "LOUISE",
        "credential": "BS, SST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6803085445",
            "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.

Verify at the official NPI Registry.