Individual provider Active NPI

Naomi Elizabeth Mpolokoso, RN, LLMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1023725801
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone
(269) 226-8133
NPI assigned
Nov 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1521 Gull Rd
Kalamazoo, MI 49048-1640

Mailing address

1424 Summer Ridge Dr Apt E
Kalamazoo, MI 49009-1062
Phone (352) 816-5233

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL naomi.mpolokoso@ascension-external.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1023725801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 SUMMER RIDGE DR APT E",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091062",
            "telephone_number": "352-816-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-226-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MPOLOKOSO",
        "first_name": "NAOMI",
        "middle_name": "ELIZABETH",
        "credential": "RN, LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "naomi.mpolokoso@ascension-external.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1521 Gull Rd",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490481640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.