Individual provider Active NPI

Judy Arlene Whitehurst, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1104331347
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087210 Issued in MI
Practice address
6938 Elm Valley Dr
Kalamazoo, MI 49009-7436
Phone
(269) 552-4224
Fax
(269) 552-4216
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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 6801087210 MI Primary

Addresses

Primary practice location

6938 Elm Valley Dr
Kalamazoo, MI 49009-7436

Mailing address

2013 Winters Dr
Portage, MI 49002-1635
Phone (269) 806-3786

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
I20180110000258 MI Practitioner - Clinical Social Worker 6709145188 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801087210MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 9, 2017 Accepting new patients
Bronson Lakeview Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2020 Accepting new patients
Bronson South Haven Hospital CurrentSince Oct 1, 2020 Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

2900 Watkins Rd
Battle Creek, MI 49015
Phone (269) 245-5430

6938 Elm Valley Dr
Kalamazoo, MI 49009
Phone (269) 341-7272

6938 Elm Valley Dr
Ste 101
Kalamazoo, MI 49009
Phone (269) 552-4167

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

451 Health Pkwy
Ste A
Paw Paw, MI 49079
Phone (269) 655-3065

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Organizations & group practices 7

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104331347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 WINTERS DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021635",
            "telephone_number": "269-806-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6938 ELM VALLEY DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097436",
            "telephone_number": "269-552-4224",
            "fax_number": "269-552-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "JUDY",
        "middle_name": "ARLENE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.