Active NPI
Maureen McNamara, LMSW DCSW
- Clinical Social Worker
- Battle Creek, MI
National Provider Identifier
1063572691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801034386
- Practice address
- 36 W Manchester St
Battle Creek, MI 49017-3016 - Phone
- (269) 660-3905
- Fax
- (269) 660-3899
- NPI assigned
- Dec 12, 2006
- 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 | 6801034386 | MI | Primary |
Addresses
Primary practice location
36 W Manchester St
Battle Creek, MI 49017-3016
Mailing address
1520 Texel Dr
Kalamazoo, MI 49048-1327
Phone (269) 660-3905
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172774 | Other | MHN | |
| 5821754 | Other | AETNA | |
| 6274622 | Other | PHP IBA | |
| IP294508 | Other | TRICARE | |
| 0890246 | Other | BCBS | |
| 126312 | Other | MI | VALUE OPTIONS |
| 5821754 | Other | MAGELLAN | |
| 6274622 | Other | UBH | |
| 27087 | Other | VA | VALUE OPTIONS |
Other names 1
- Maureen Kilkelly
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 |
|---|---|---|---|
| 6801034386 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063572691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 TEXEL DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481327",
"telephone_number": "269-660-3905",
"fax_number": "269-660-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 W MANCHESTER ST",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490173016",
"telephone_number": "269-660-3905",
"fax_number": "269-660-3899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "LMSW DCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801034386",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "172774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5821754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP IBA",
"identifier": "6274622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "IP294508",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0890246",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "126312",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "5821754",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6274622",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "27087",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "KILKELLY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Battle Creek, 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.