Kristin Penix, LMSW
Individual provider Active NPI Social Worker · Clarkston, MI
NPI 1124416979 · NPPES record last updated Nov 15, 2023
Key facts
- NPI
- 1124416979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 6801094044 (MI)
- Practice address
- 6548 Town Center Dr
Clarkston, MI 48346-4823 - Phone
- (248) 663-4338
- NPI assigned
- Jan 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Richard Kneip PHD PC
Practice addresses (Care Compare)
6548 Town Ctr Dr
Suite D
Clarkston, MI 48346-4823
Phone (800) 693-1916
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150108000610 | MI | Practitioner - Clinical Social Worker | 1759604283 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094044 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current |
Accepting new patients | |
| Arbor West Chiropractic Center P.C. | Past | Accepting new patients |
Locations
6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739
89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801094044 | MI | |
| Social Worker | 104100000X | 6801094044 | MI | Yes |
Addresses
Primary practice location
6548 Town Center Dr
Clarkston, MI 48346-4823
Mailing address
PO Box 772263
Detroit, MI 48277-2263
Phone (248) 453-7525
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.