Individual provider Active NPI

Abra Elisabeth Kitei, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1043385297
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801102303 Issued in MI
Practice address
2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442
Phone
(248) 282-2321
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 6801102303 MI Primary

Addresses

Primary practice location

2075 W Big Beaver Rd Ste 520
Troy, MI 48084-3442

Mailing address

1491 Chapin Ave
Birmingham, MI 48009-2000
Phone (312) 560-9104

Other practice location 1

6918 Windsor Ave
Berwyn, IL 60402-3334
Phone (708) 795-4800 ext. 3122

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
I20191016003252 MI Practitioner - Clinical Social Worker 8729319132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Birmingham Maple ClinicGroup PAC ID 6800867755, 14 clinicians

Practice addresses (Care Compare)

2075 W Big Beaver Rd
Suite 520
Troy, MI 48084-3442
Phone (248) 646-6659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801102303MIMDClinical Social Worker

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1043385297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CHAPIN AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480092000",
            "telephone_number": "312-560-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 W BIG BEAVER RD STE 520",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843442",
            "telephone_number": "248-282-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6918 Windsor Ave",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023334",
            "country_code": "US",
            "telephone_number": "708-795-4800 x3122",
            "fax_number": "708-795-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITEI",
        "first_name": "ABRA",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801102303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.