Individual provider Active NPI

Michelle Iris Serlin, MSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1114101227
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801059639 Issued in MI
Practice address
218 W Walnut St
Kalamazoo, MI 49007-5131
Phone
(269) 344-7997
Fax
(269) 344-8642
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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 6801059639 MI Primary

Addresses

Primary practice location

218 W Walnut St
Kalamazoo, MI 49007-5131

Mailing address

218 W Walnut St
Kalamazoo, MI 49007-5131
Phone (269) 344-7997

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
I20120614000414 MI Practitioner - Clinical Social Worker 0244494698 Practice locations: Kalamazoo, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 W Walnut St
Kalamazoo, MI 49007-5131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True2U Counseling LLP Current Accepting new patients
Choices for Change Counseling Agency LPC Past Accepting new patients
Choices for Change Past Accepting new patients

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": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1114101227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075131",
            "telephone_number": "269-344-7997",
            "fax_number": "269-344-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W WALNUT ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075131",
            "telephone_number": "269-344-7997",
            "fax_number": "269-344-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLIN",
        "first_name": "MICHELLE",
        "middle_name": "IRIS",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.