Organization Active NPI

Maristela Zell, LLC

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1942054424
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARISTELA ZELL, LLC
Practice address
862 E Eighth St
Traverse City, MI 49686-2727
Phone
(847) 436-0759
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Maristela ZellNPI 1104122589
Title
Owner
Phone
(847) 436-0759

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

862 E Eighth St
Traverse City, MI 49686-2727

Mailing address

6710 Burr St
Benzonia, MI 49616-9625
Phone (847) 436-0759

Other practice location 1

244 S Benzie Blvd
Beulah, MI 49617-5122
Phone (847) 436-0759

National Provider Directory

National Provider Directory

Locations

862 E Eighth St
Traverse City, MI 49686
Phone (847) 436-0759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1942054424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 BURR ST",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169625",
            "telephone_number": "847-436-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862727",
            "telephone_number": "847-436-0759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "244 S Benzie Blvd",
            "address_purpose": "LOCATION",
            "city": "Beulah",
            "state": "MI",
            "postal_code": "496175122",
            "country_code": "US",
            "telephone_number": "847-436-0759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARISTELA ZELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ZELL",
        "authorized_official_first_name": "MARISTELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-436-0759"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.