Individual provider Active NPI

Kimberly Kay Sawatzki, LMSW, CADC

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1154696987
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089726 Issued in MI
Practice address
1500 Weiss St
Saginaw, MI 48602-5251
Phone
(989) 907-2728
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089726 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

1500 Weiss St
Saginaw, MI 48602-5251

Mailing address

1935 Fairfield St
Saginaw, MI 48602-3227
Phone (989) 792-0878

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

LicenseStateTypeSpecialty
6801089726MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1154696987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 FAIRFIELD ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023227",
            "telephone_number": "989-792-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025251",
            "telephone_number": "989-907-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWATZKI",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "LMSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089726",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.