Active NPI
Leilani Denison Kitler, MSW
- Social Worker
- Cadillac, MI
National Provider Identifier
1134469919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L2227165
- Practice address
- 527 Cobb Street
Northern Lakes Community Mental Health
Cadillac, MI 49601 - Phone
- (231) 876-3280
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L2227165 | MI | Primary |
Addresses
Primary practice location
527 Cobb Street
Northern Lakes Community Mental Health
Cadillac, MI 49601
Mailing address
527 Cobb Street
Northern Lakes Community Mental Health
Cadillac, MI 49601
Phone (231) 876-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2227165 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1134469919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 COBB STREET",
"address_2": "NORTHERN LAKES COMMUNITY MENTAL HEALTH",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-876-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 COBB STREET",
"address_2": "NORTHERN LAKES COMMUNITY MENTAL HEALTH",
"city": "CADILLAC",
"state": "MI",
"postal_code": "49601",
"telephone_number": "231-876-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITLER",
"first_name": "LEILANI",
"middle_name": "DENISON",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "L2227165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.