Active NPI
Kathryn C. Radamis, LMSW CAC-1
- Clinical Social Worker
- Westland, MI
National Provider Identifier
1043380025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801088044
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.