Mr Nicholas John Zielke, MSW | |
1022 S Washington Ave Ste 3, Royal Oak, MI 48067-3218 | |
(586) 610-1108 | |
Not Available |
Full Name | Mr Nicholas John Zielke |
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Gender | Male |
Speciality | Social Worker |
Location | 1022 S Washington Ave Ste 3, Royal Oak, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477070274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 6801098379 (Michigan) | Secondary |
104100000X | Social Worker | 6801114544 (Michigan) | Primary |
Entity Name | Fortitude Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962123893 PECOS PAC ID: 3476939570 Enrollment ID: O20220927002118 |
Mailing Address | Practice Location Address |
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Mr Nicholas John Zielke, MSW 13000 Burton St, Oak Park, MI 48237-1680 Ph: (586) 610-1108 | Mr Nicholas John Zielke, MSW 1022 S Washington Ave Ste 3, Royal Oak, MI 48067-3218 Ph: (586) 610-1108 |
Mrs. Jodie Michelle Jacobs, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-414-4050 Fax: 248-414-4053 | |
Michal Goldberg, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-242-7893 | |
Karen Tyner Rouff, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 415 S West St, #150, Royal Oak, MI 48067 Phone: 248-988-7465 Fax: 248-644-2415 | |
Ms. Eleanor D Payson, LMSW, ACSW, LMFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 W 7th St, Suite 290, Royal Oak, MI 48067 Phone: 248-548-0306 Fax: 248-541-4379 | |
Christina Gallardo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 N. Main Street, Suite 200, Pmb 4132, Royal Oak, MI 48067 Phone: 313-241-6862 | |
Joel Blumenfeld, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-387-9676 | |
Douglas J Boersen, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3042 Trafford Rd, Royal Oak, MI 48073 Phone: 248-310-9632 |