Individual provider Active NPI

Kate Fitzsimons, BS

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1164931333
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6851108790 Issued in MI
Practice address
229 E Michigan Ave Ste 440
Kalamazoo, MI 49007-6400
Phone
(269) 254-6613
NPI assigned
Sep 20, 2017
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851108790 MI Primary

Addresses

Primary practice location

229 E Michigan Ave Ste 440
Kalamazoo, MI 49007-6400

Mailing address

610 S Burdick St
Kalamazoo, MI 49007-5221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 27, 2026 through Mar 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6851108790MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intentional Wellness Psychotherapy, PLLC Current Accepting new patients
Kelsea a Howell PLLC Social Worker CurrentSince Apr 9, 2024 Accepting new patients

Locations

229 E Michigan Ave
Ste 440
Kalamazoo, MI 49007
Phone (269) 254-6613

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1164931333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E MICHIGAN AVE STE 440",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490076400",
            "telephone_number": "269-254-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMONS",
        "first_name": "KATE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851108790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.