Kelly Jo Muizelaar, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801084403 Issued in MI

Practice address

500 Hancock St
Saginaw, MI 48602-4224

Phone

(989) 793-3479

NPI assigned

Jul 3, 2012

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)

Enrolled

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1154685212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NAKOMA DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407227",
            "telephone_number": "616-648-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HANCOCK ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024224",
            "telephone_number": "989-793-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIZELAAR",
        "first_name": "KELLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mueller, M.D.
• Madison Mueller
• Matthew Joseph Muempfer, LMSW
• Rachael Muex
• Alexia Makayla Gitonga Mugute
• Mukesh Lathia MD, PLLC
• Manal Mukhtar, MD
• Rachel Mularz
• Tasha Mulder, MS, ATC
• Emma Mulholland, LLMSW

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, 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 Jul 3, 2012; 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.