Kathryn Bultman L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082187 Issued in MI

Legal business name

KATHRYN BULTMAN L.L.C.

Practice address

1179 E Paris Ave SE
Grand Rapids, MI 49546-8371

Phone

(616) 460-1857

Fax

(616) 454-0061

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Bultman, LMSW

Title

Clinical Social Worker

Phone

(616) 460-1857

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kathryn Bultman Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darius Lamont Randall, LMSW

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1720201742

  Clinical

  NPD (past)
• Lyndsay Kate Volpe-Bertram, PSY.D.

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1669604658
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124120670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 RIDGECROFT AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465759",
            "telephone_number": "616-460-1857",
            "fax_number": "616-454-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468371",
            "telephone_number": "616-460-1857",
            "fax_number": "616-454-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN BULTMAN L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULTMAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "616-460-1857",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1316972706",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathryn Bultman",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Devries Therapy, PLLC
• Nazima Nuruddin Kathiria, D.O.
• Kathleen Laarman LLC
• Kathleen M. Eisin, DDS Ms PLLC
• Kathryn a. Swan, D.D.S., M.S., P.C.
• Kathryn Padron, LMSW Counseling and Therapy Service, LLC
• Kathryn Warren,Ma LLP
• Katie Hensley-Minks LMSW
• Katie Vanderweide LLC
• Sharon Lynn Katje, RN, BSN

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.