Individual provider Active NPI

Kathleen Carol Wold, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1154797322
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100289 Issued in MI
Practice address
1785 W Stadium Blvd Ste 205
Ann Arbor, MI 48103-5285
Phone
(734) 913-1093
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801100289 MI Primary

Addresses

Primary practice location

1785 W Stadium Blvd Ste 205
Ann Arbor, MI 48103-5285

Mailing address

1785 W Stadium Blvd Ste 205
Ann Arbor, MI 48103-5285
Phone (734) 913-1093

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
I20201009001547 MI Practitioner - Clinical Social Worker 6002236270 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

1785 W Stadium Blvd
Suite 205
Ann Arbor, MI 48103-5285
Phone (734) 913-1093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Oct 6, 2025 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Feb 20, 2025 Accepting new patients
Wellness Counseling L.L.C. Social Worker CurrentSince Jul 10, 2020 Accepting new patients
Beachwalk Counseling LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients
Creekside Counseling Group LLC Social Worker CurrentSince Dec 19, 2023 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Mar 30, 2021 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Clinical CurrentSince Oct 6, 2025 Accepting new patients
Acpc PLLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

1785 W Stadium Blvd
Ste 205
Ann Arbor, MI 48103
Phone (734) 787-9775

3131 S State St
Ste 226
Ann Arbor, MI 48108
Phone (734) 430-0881

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

221 W Lake Lansing Rd
Ste 200
East Lansing, MI 48823
Phone (517) 604-5770

15173 North Rd
Ste 100
Fenton, MI 48430
Phone (810) 208-0879

10801 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 771-4074

2127 University Park Dr
Ste 300
Okemos, MI 48864
Phone (248) 469-8918

705 S Main St
Ste 280
Plymouth, MI 48170
Phone (734) 454-1094

1 Heritage Dr
Ste 261
Southgate, MI 48195
Phone (734) 778-0663

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

28345 Beck Rd
Ste 110
Wixom, MI 48393
Phone (248) 274-4560

Organizations & group practices 9

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1154797322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-913-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 W STADIUM BLVD STE 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035285",
            "telephone_number": "734-913-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "KATHLEEN",
        "middle_name": "CAROL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.