Individual provider Active NPI

Kurtis Lahring, LMSW-C

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1083065098
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114837 Issued in MI
Practice address
2415 Owen Rd Ste C
Fenton, MI 48430-1705
Phone
(248) 820-6861
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Clinical Social Worker 1041C0700X 6801114837 MI Primary

Addresses

Primary practice location

2415 Owen Rd Ste C
Fenton, MI 48430-1705

Mailing address

1641 W Wardlow Rd
Highland, MI 48357-4320
Phone (248) 820-6861

Other names 1

  • Mr. Kurtis Neal McElroy Former name

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
I20240524002057 MI Practitioner - Clinical Social Worker 1658713474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Behavioral Clinic LLCGroup PAC ID 0446503130, 13 clinicians

Practice addresses (Care Compare)

210 W Highland Rd
Suite 102
Highland, MI 48357-4573
Phone (248) 529-3167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801114837MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Clinic LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

210 W Highland Rd
Ste 102
Highland, MI 48357
Phone (248) 529-3167

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1083065098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 W WARDLOW RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574320",
            "telephone_number": "248-820-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 OWEN RD STE C",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301705",
            "telephone_number": "248-820-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHRING",
        "first_name": "KURTIS",
        "name_prefix": "Mr.",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KURTIS",
            "last_name": "MCELROY",
            "middle_name": "NEAL",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.