Provider Demographics
NPI:1306952163
Name:ZIELINSKI, JEROME NIYN (LM8W)
Entity type:Individual
Prefix:MR
First Name:JEROME
Middle Name:NIYN
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:LM8W
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 E SAGINAW
Mailing Address - Street 2:SUITE 214
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:517-886-3707
Mailing Address - Fax:517-333-3737
Practice Address - Street 1:3401 E SAGINAW
Practice Address - Street 2:SUITE 214
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-886-3707
Practice Address - Fax:517-333-3737
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010042451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical