Active NPI
Kellie Kroeger
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1013338821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801090341
- Practice address
- 19805 Farmington Rd
Livonia, MI 48152-1444 - Phone
- (586) 846-0535
- NPI assigned
- Dec 20, 2013
- Last updated
- Nov 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801090341 | MI | Primary |
Addresses
Primary practice location
19805 Farmington Rd
Livonia, MI 48152-1444
Mailing address
19805 Farmington Rd
Livonia, MI 48152-1444
Phone (248) 536-5085
Other names 1
- Kellie A Larabell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509753600000",
"number": "1013338821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19805 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521444",
"telephone_number": "248-536-5085",
"fax_number": "248-536-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19805 FARMINGTON RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521444",
"telephone_number": "586-846-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROEGER",
"first_name": "KELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2017-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801090341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLIE",
"last_name": "LARABELL",
"middle_name": "A",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.