Active NPI
Kurt Stutz, M.DIV, M.S.W.
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1154474773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801085233
- Practice address
- 37677 Professional Center Dr Ste 135C
Livonia, MI 48154-1157 - Phone
- (734) 425-0396
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801085233 | MI | Primary |
Addresses
Primary practice location
37677 Professional Center Dr Ste 135C
Livonia, MI 48154-1157
Mailing address
24499 Martel Dr
Farmington Hills, MI 48335-2195
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801085233 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154474773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24499 MARTEL DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37677 PROFESSIONAL CENTER DR STE 135C",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481541157",
"telephone_number": "734-425-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZ",
"first_name": "KURT",
"name_prefix": "Mr.",
"credential": "M.DIV, M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801085233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.