Active NPI
Lela Dobrzelewski, LLMSW
- Social Worker
- Gaylord, MI
National Provider Identifier
1902640030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6851118288
- Practice address
- 90 Livingston Blvd
Gaylord, MI 49735-9387 - Phone
- (989) 732-6890
- Fax
- (989) 688-5968
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 6851118288 | Primary |
Addresses
Primary practice location
90 Livingston Blvd
Gaylord, MI 49735-9387
Mailing address
90 Livingston Blvd
Gaylord, MI 49735-9387
Phone (989) 732-6890
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thunder Bay Community Health Service, Inc | Past | Accepting new patients | |
| Thunder Bay Community Health Service, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Cheboygan, MI
- NPI 1306244108
-
- Federally Qualified Health Center (FQHC)
- Mio, MI
- NPI 1750751392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1902640030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LIVINGSTON BLVD",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359387",
"telephone_number": "989-732-6890",
"fax_number": "989-688-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 LIVINGSTON BLVD",
"city": "GAYLORD",
"state": "MI",
"postal_code": "497359387",
"telephone_number": "989-732-6890",
"fax_number": "989-688-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBRZELEWSKI",
"first_name": "LELA",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "6851118288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaylord, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.