ANDREA ZAJAC
NPI 1154786705
Social Worker in Grand Rapids, MI

Q: What is Andrea Zajac's NPI number?

The NPI number for Andrea Zajac is 1154786705. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Q: What is Andrea Zajac's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Zajac was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2015PECOS Enrolled

2750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 267-7015 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea Zajac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA ZAJAC (NPI 1154786705) is an individual social worker in Grand Rapids, Michigan, licensed in Michigan (6801090272) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154786705

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameANDREA ZAJAC

Location Address2750 E BELTLINE AVE NEGrand Rapids, MI 49525-8614

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-7015

Sole ProprietorNo

Enumeration DateDecember 28, 2015

✔ NPI 1154786705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801090272

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2750 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Zajac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANAKA NICOLE DEVRIES

Social Worker (Clinical)