Individual provider Active NPI

Kathryn C. Radamis, LMSW CAC-1

  • Clinical Social Worker
  • Westland, MI
National Provider Identifier
1043380025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088044 Issued in MI
Practice address
917 S Merriman Rd
Westland, MI 48186-4951
Phone
(734) 641-1141
Fax
(734) 641-1142
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801088044 MI Primary

Addresses

Primary practice location

917 S Merriman Rd
Westland, MI 48186-4951

Mailing address

917 S. Merriman Rd.
Westland, MI 48186-4951
Phone (734) 641-1141

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Care, LLC Clinical Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043380025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S. MERRIMAN RD.",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864951",
            "telephone_number": "734-641-1141",
            "fax_number": "734-641-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481864951",
            "telephone_number": "734-641-1141",
            "fax_number": "734-641-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADAMIS",
        "first_name": "KATHRYN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LMSW CAC-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.