Healthcare Provider Details

I. General information

NPI: 1740109362
Provider Name (Legal Business Name): NANCY TOPOLEWSKI WILLYARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5070 S DUCK LAKE RD
COMMERCE TWP MI
48382-1338
US

IV. Provider business mailing address

35810 W 13 MILE RD
FARMINGTON HILLS MI
48331-2508
US

V. Phone/Fax

Practice location:
  • Phone: 248-684-8000
  • Fax:
Mailing address:
  • Phone: 248-676-8473
  • Fax: 248-684-8075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801019197
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: