Individual provider Active NPI

Pamela Ann Kaatz, MSW, LMSW

  • Clinical Social Worker
  • Pontiac, MI
National Provider Identifier
1053752550
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094622 Issued in MI
Practice address
1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242
Phone
(248) 706-3450
NPI assigned
Jul 12, 2013
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 6801094622 MI Primary

Addresses

Primary practice location

1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242

Mailing address

36400 Woodward Ave
Bloomfield Hills, MI 48304-0911
Phone (248) 629-2799

Other practice location 1

36400 Woodward Ave
Bloomfield Hills, MI 48304-0911
Phone (248) 629-2799

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
I20160817002879 MI Practitioner - Clinical Social Worker 5294020079 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094622MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Oct 10, 2024 Accepting new patients
Sacred Heart Rehabilitation Center, Inc. Current Accepting new patients
Emh A2 CD, LLC PastSince Jan 27, 2025 Accepting new patients
Emh Birmingham-Bloomfield-Troy LLC Clinical PastSince Feb 1, 2023 Accepting new patients

Locations

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

28303 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 658-1116

1685 Baldwin Ave
Ste A
Pontiac, MI 48340
Phone (248) 681-1940

1406 8th St
Port Huron, MI 48060
Phone (810) 531-2704

400 Stoddard Rd
Richmond, MI 48062

248 Ferry Ln
Saint Ignace, MI 49781
Phone (906) 643-8111

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1053752550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040911",
            "telephone_number": "248-629-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 BALDWIN AVE STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401242",
            "telephone_number": "248-706-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36400 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483040911",
            "country_code": "US",
            "telephone_number": "248-629-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAATZ",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.