Active NPI
Katie Rebecca Magnuson, LLBSW
- Social Worker
- Ionia, MI
National Provider Identifier
1033343496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L1556036
- Practice address
- 375 Apple Tree Dr
Ionia, MI 48846-7506 - Phone
- (616) 527-1790
- NPI assigned
- May 13, 2009
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | L1556036 | MI | Primary |
Addresses
Primary practice location
375 Apple Tree Dr
Ionia, MI 48846-7506
Mailing address
5434 Christie Ave SE
Kentwood, MI 49508-6165
Phone (616) 262-1265
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1556036 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1033343496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5434 CHRISTIE AVE SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495086165",
"telephone_number": "616-262-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 APPLE TREE DR",
"city": "IONIA",
"state": "MI",
"postal_code": "488467506",
"telephone_number": "616-527-1790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNUSON",
"first_name": "KATIE",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LLBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "L1556036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.