Active NPI
Kayla Marie Dennis, LLMSW
- Clinical Social Worker
- Marquette, MI
National Provider Identifier
1053661611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801094434
- Practice address
- 200 West Spring Street
Marquette, MI 49855 - Phone
- (906) 233-1322
- Fax
- (906) 233-1220
- NPI assigned
- Sep 11, 2012
- 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 | 6801094434 | MI | Primary |
Addresses
Primary practice location
200 West Spring Street
Marquette, MI 49855
Mailing address
200 West Spring Street
Marquette, MI 49855
Phone (906) 233-1322
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1053661611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST SPRING STREET",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-233-1322",
"fax_number": "906-233-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST SPRING STREET",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-233-1322",
"fax_number": "906-233-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "KAYLA",
"middle_name": "MARIE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801094434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.