Active NPI
Karen Kewish, LMSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1043742307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801100750
- Practice address
- 5990 Venture Park Dr
Kalamazoo, MI 49009 - Phone
- (269) 532-1470
- NPI assigned
- Mar 28, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801100750 | MI | |
| Clinical Social Worker | 1041C0700X | 6801100750 | MI | Primary |
Addresses
Primary practice location
5990 Venture Park Dr
Kalamazoo, MI 49009
Mailing address
5990 Venture Park Dr
Kalamazoo, MI 49009-1858
Phone (269) 532-1470
Other practice location 1
265 N Michigan Ave
Coldwater, MI 49036-1528
Phone (517) 278-5933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801100750 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network - Rehabilitation Services | Social Worker | 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": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1043742307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5990 VENTURE PARK DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490091858",
"telephone_number": "269-532-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5990 VENTURE PARK DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49009",
"telephone_number": "269-532-1470"
}
],
"practiceLocations": [
{
"address_1": "265 N Michigan Ave",
"address_purpose": "LOCATION",
"city": "Coldwater",
"state": "MI",
"postal_code": "490361528",
"country_code": "US",
"telephone_number": "517-278-5933",
"fax_number": "517-279-4946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEWISH",
"first_name": "KAREN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801100750",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801100750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.