Katungwa Kiamba

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801033763 Issued in MI

Practice address

1431 Roosevelt
Ypsilanti, MI 48197-2034

Phone

(734) 635-7004

Fax

(734) 219-7197

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Visiting Counselors LLC

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1942636568
  Medicare reassignment

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1013368034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 971961",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481970235",
            "telephone_number": "734-635-7004",
            "fax_number": "734-219-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 ROOSEVELT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972034",
            "telephone_number": "734-635-7004",
            "fax_number": "734-219-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIAMBA",
        "first_name": "KATUNGWA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801033763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tawhida Khatoon, M.D.
• Kelly Khaykin
• Layla Khayr
• Jamil Khondker, MD
• Donna Khoury, PSYD
• Kidney Centers of Michigan LLC
• Christine Kiefer
• Gerard Paul Kiers, CRNA
• James A Kilmark, PA
• Andie Michelle Kilpatrick, PA-C

• Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.

Verify at the official NPI Registry.