Active NPI
Kaitlin Mulvihill, LLMSW, MTBC
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1083395834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 344 Calkins Ave SE
Grand Rapids, MI 49506-1522 - Phone
- (248) 996-4590
- NPI assigned
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | |||
| Social Worker | 104100000X | MI | Primary |
Addresses
Primary practice location
344 Calkins Ave SE
Grand Rapids, MI 49506-1522
Mailing address
344 Calkins Ave SE
Grand Rapids, MI 49506-1522
Phone (248) 996-4590
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1083395834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 CALKINS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061522",
"telephone_number": "248-996-4590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 CALKINS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061522",
"telephone_number": "248-996-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVIHILL",
"first_name": "KAITLIN",
"credential": "LLMSW, MTBC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-25",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.