Kathleen Mary Sanders, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087023 Issued in MI

Practice address

1299 Heatherwood Dr Apt 1a
Grand Blanc, MI 48439-7543

Phone

(810) 348-7320

NPI assigned

Mar 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1124446950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 HEATHERWOOD DR APT 1A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397543",
            "telephone_number": "810-348-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 HEATHERWOOD DR APT 1A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397543",
            "telephone_number": "810-348-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam'S Club Optical
• Taylor Sammis
• Sams East Inc
• Barbara Helene Samson, OTR/L, MBA, CWS
• Jalen Sanders
• Kimberly Marie Sanderson
• Madison Sandrock, MA, CF-SLP
• Todd A. Sandrock, D.O.
• Reginald Torrence Sandy, DO
• Todd Edwin Sanford, NP

• Clinical Social Worker in Grand Blanc, MI
• Providers in Grand Blanc, 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 Mar 29, 2014; 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.