Individual provider Active NPI

Mary Anne Kalil, L.M.S.W.

  • Clinical Social Worker
  • Sierra Vista, AZ
National Provider Identifier
1063532950
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4525 Campus Dr
Sierra Vista, AZ 85635-2232
Phone
(520) 459-3011
NPI assigned
Apr 2, 2007
Last updated
May 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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 NU Primary

Addresses

Primary practice location

4525 Campus Dr
Sierra Vista, AZ 85635-2232

Mailing address

4655 N Commerce Dr
Sierra Vista, AZ 85635-2497
Phone (520) 459-3012

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
I20121227000385 MI Practitioner - Clinical Social Worker 3072766054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.5 of 100Reported as group
Quality
73.88
Promoting interoperability
80
Improvement activities
40
Cost
78.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Easterseals Morc Health Care, Inc. CurrentSince Jan 27, 2025 Accepting new patients
CNS Healthcare CurrentSince Jun 16, 2022 Accepting new patients

Locations

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

24230 Karim Blvd
Ste 100
Novi, MI 48375
Phone (248) 724-7700

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

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

Organizations & group practices 2

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1063532950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 N COMMERCE DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352497",
            "telephone_number": "520-459-3012",
            "fax_number": "520-459-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMPUS DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352232",
            "telephone_number": "520-459-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.