Active NPI
Theresa Louise Patlewicz, BS, SST
- Social Worker
- Clinton Township, MI
National Provider Identifier
1902002256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6803085445
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6803085445 | MI | MD | Social 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.