Individual provider Active NPI

Kimberly Cena, LMSW

  • Clinical Social Worker
  • Lansing, MI
National Provider Identifier
1093050486
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089814 Issued in MI
Practice address
838 Louisa St
Lansing, MI 48911-0214
Phone
(517) 887-5257
Fax
(517) 887-5273
NPI assigned
Dec 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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 6801089814 MI Primary

Addresses

Primary practice location

838 Louisa St
Lansing, MI 48911-0214

Mailing address

812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8000

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
I20170418001269 MI Practitioner - Clinical Social Worker 6002192598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089814MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TMB Counseling LLC Social Worker CurrentSince May 1, 2022 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties PastSince Jan 26, 2021 Accepting new patients

Locations

6206 W Saginaw Hwy
Ste B
Lansing, MI 48917
Phone (517) 242-3619

Organizations & group practices 3

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": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1093050486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489106818",
            "telephone_number": "517-346-8000",
            "fax_number": "517-346-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 LOUISA ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489110214",
            "telephone_number": "517-887-5257",
            "fax_number": "517-887-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENA",
        "first_name": "KIMBERLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.