Dennis J Kan, LLBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802089749 Issued in MI

Practice address

208 W Lincoln St
Charlevoix, MI 49720-1336

Phone

(231) 547-1144

Fax

(231) 547-4970

NPI assigned

Jun 23, 2017

Last updated

Mar 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1023538741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W LINCOLN ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201336",
            "telephone_number": "231-547-1144",
            "fax_number": "231-547-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W LINCOLN ST",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201336",
            "telephone_number": "231-547-1144",
            "fax_number": "231-547-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Spring St",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497401116",
            "country_code": "US",
            "telephone_number": "231-547-1144",
            "fax_number": "231-547-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 S Park St",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "497121527",
            "country_code": "US",
            "telephone_number": "231-547-1144",
            "fax_number": "231-547-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Boyne Ave",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "497129110",
            "country_code": "US",
            "telephone_number": "231-547-1144",
            "fax_number": "231-547-4970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAN",
        "first_name": "DENNIS",
        "middle_name": "J",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20151209439760",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Johnson, CRNA
• Samantha Johnstone
• Tayler Hope Jones, PHARMD
• Dennis M Joy, M.D.
• Elizabeth Ann Kaelson, DDS
• Justin Robert Kapke, PA
• Lori A Katzman, M.D.
• David Scott Kelly, MA,CAADC,MAC,CCS
• Vicki Kemp
• Barrett Alexander Kielhorn, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.