Organization Active NPI

Kimberly M McCrea

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1023552841
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058560 Issued in MI
Legal business name
KIMBERLY M MCCREA
Practice address
2048 Washtenaw Road Upper Level South Suite
Ypsilanti, MI 48197-1889
Phone
(734) 775-3451
NPI assigned
Dec 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Authorized official

Name
Kimberly M McCcrea, LMSW
Title
LMSW
Phone
(734) 775-3451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801058560 MI Primary

Addresses

Primary practice location

2048 Washtenaw Road Upper Level South Suite
Ypsilanti, MI 48197-1889

Mailing address

47103 Water'S Edge LN #B217
Belleville, MI 48111-3179
Phone (734) 775-3451

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1023552841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47103 WATER'S EDGE LN #B217",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481113179",
            "telephone_number": "734-775-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 WASHTENAW ROAD UPPER LEVEL SOUTH SUITE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971889",
            "telephone_number": "734-775-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M MCCREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MCCCREA",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "734-775-3451",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.