Organization Active NPI

Pietruck Therapy Services PLLC

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1932634219
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
PIETRUCK THERAPY SERVICES PLLC
Practice address
220 Collingwood St Ste 130
Ann Arbor, MI 48103-3842
Phone
(734) 786-2626
Fax
(734) 997-5015
NPI assigned
Apr 25, 2017
Last updated
Apr 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Authorized official

Name
Lindsay Pietruck BaileyNPI 1881008506
Title
Owner
Phone
(734) 786-2626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

220 Collingwood St Ste 130
Ann Arbor, MI 48103-3842

Mailing address

220 Collingwood St Ste 130
Ann Arbor, MI 48103-3842
Phone (734) 786-2626

Other practice location 1

1235 Industrial Dr Ste 1
Saline, MI 48176-1742
Phone (734) 786-2626

National Provider Directory

National Provider Directory

Locations

2100 S Main St
Ste A
Ann Arbor, MI 48103
Phone (248) 378-4163

220 Collingwood St
Ste 130
Ann Arbor, MI 48103
Phone (734) 645-9394

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712966400000",
    "number": "1932634219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 130",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-786-2626",
            "fax_number": "734-997-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 130",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-786-2626",
            "fax_number": "734-997-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Industrial Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761742",
            "country_code": "US",
            "telephone_number": "734-786-2626",
            "fax_number": "734-997-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIETRUCK THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "PIETRUCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-786-2626"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.