Individual provider Active NPI

Kathleen Ann Allin, MSW

  • Social Worker
  • Clinton TWP, MI
National Provider Identifier
1013085984
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801089292 Issued in MI
Practice address
22900 Remick Dr
Clinton TWP, MI 48036-2732
Phone
(586) 783-4802
Fax
(586) 783-4805
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Social Worker 104100000X 6801089292 MI Primary

Addresses

Primary practice location

22900 Remick Dr
Clinton TWP, MI 48036-2732

Mailing address

24735 Glouchester St Apt 311
Harrison TWP, MI 48045-3154
Phone (586) 746-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070216000411 MI Practitioner - Clinical Social Worker 6002918331 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089292MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Diagnostic Alcohol and Drug Services LLC CurrentSince Jun 1, 2018 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 18, 2024 Accepting new patients
Comprehensive Youth Services Inc CurrentSince Jun 14, 2023 Accepting new patients
Bio-Med Behavioral Health Services Addiction (Substance Use Disorder) Past Accepting new patients

Locations

2 Crocker Blvd
Ste 205
Mount Clemens, MI 48043
Phone (586) 463-7079

7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347

2449 E 12 Mile Rd
Warren, MI 48092
Phone (586) 510-4992

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1013085984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24735 GLOUCHESTER ST APT 311",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480453154",
            "telephone_number": "586-746-1161",
            "fax_number": "586-783-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 REMICK DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480362732",
            "telephone_number": "586-783-4802",
            "fax_number": "586-783-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.