Active NPI
Stephen J Shimek, LMSW
- Social Worker
- Benton Harbor, MI
National Provider Identifier
1053498485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801084999
- Practice address
- 960 Agard Ave
Suite 104
Benton Harbor, MI 49022-4051 - Phone
- (269) 925-1234
- Fax
- (269) 925-4275
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801084999 | MI | Primary |
Addresses
Primary practice location
960 Agard Ave
Suite 104
Benton Harbor, MI 49022-4051
Mailing address
1819 Gull Rd
Kalamazoo, MI 49048-1611
Phone (269) 381-9800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801084999 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Family Services | 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.
-
- Professional Counselor
- Kalamazoo, MI
- NPI 1336815331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053498485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481611",
"telephone_number": "269-381-9800",
"fax_number": "269-381-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 AGARD AVE",
"address_2": "SUITE 104",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490224051",
"telephone_number": "269-925-1234",
"fax_number": "269-925-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMEK",
"first_name": "STEPHEN",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801084999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton Harbor, 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.