Individual provider Active NPI

Kate Vandokkumburg, LMSW

  • Clinical Social Worker
  • Greenville, MI
National Provider Identifier
1043167315
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119566 Issued in MI
Practice address
108 N Lafayette St Ste D
Greenville, MI 48838-1883
Phone
(616) 200-4030
NPI assigned
Mar 14, 2026
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 6801119566 MI Primary

Addresses

Primary practice location

108 N Lafayette St Ste D
Greenville, MI 48838-1883

Mailing address

3816 Pine View Dr
Sheboygan, WI 53083-2092

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260407001345 MI Practitioner - Clinical Social Worker 5698240729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3816 Pine View Dr
Sheboygan, WI 53083-2092

PO Box
Suite 10
Mason, MI 48854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119566MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sinclaire Solutions LLC CurrentSince Mar 17, 2026 Accepting new patients
Skyee Wellness LLC CurrentSince Mar 17, 2026 Accepting new patients

Locations

108 N Lafayette St
Ste D
Greenville, MI 48838
Phone (616) 200-4030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1043167315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 PINE VIEW DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N LAFAYETTE ST STE D",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381883",
            "telephone_number": "616-200-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDOKKUMBURG",
        "first_name": "KATE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.