Individual provider Active NPI

Kristen Elizabeth Wurth, LLMSW

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1124566112
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098881 Issued in MI
Practice address
1665 Savannah CT
Ypsilanti, MI 48198-3681
Phone
(517) 914-1868
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 6801098881 MI Primary

Addresses

Primary practice location

1665 Savannah CT
Ypsilanti, MI 48198-3681

Mailing address

1665 Savannah CT
Ypsilanti, MI 48198-3681
Phone (517) 914-1868

Other names 1

  • Miss Kristen Elizabeth Arnold Former name

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
I20240127000399 MI Practitioner - Clinical Social Worker 9335592286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monroe County Community Mental Health AuthorityGroup PAC ID 8325025513, 8 clinicians

Practice addresses (Care Compare)

1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone (734) 243-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098881MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Community Mental Health Authority Clinical CurrentSince Jan 5, 2026 Accepting new patients

Locations

1001 S Raisinville Rd
Monroe, MI 48161
Phone (734) 243-7340

Organizations & group practices 1

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1124566112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 SAVANNAH CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983681",
            "telephone_number": "517-914-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 SAVANNAH CT",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481983681",
            "telephone_number": "517-914-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTH",
        "first_name": "KRISTEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ARNOLD",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.