Kaitlyn Marie Tobeler, LLBSW QIDP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802090066 Issued in MI

Practice address

7178 Lake Vista Dr SW Apt 3a
Byron Center, MI 49315-9038

Phone

(734) 383-5069

NPI assigned

Jul 2, 2019

Last updated

Jul 2, 2019By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1184286965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7178 LAKE VISTA DR SW APT 3A",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159038",
            "telephone_number": "734-383-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7178 LAKE VISTA DR SW APT 3A",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159038",
            "telephone_number": "734-383-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBELER",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "credential": "LLBSW QIDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802090066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timothy Joseph Tobolic, M.D.
• Thaovy Mai Tran, RPH
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• Trilogy Healthcare of Kent LLC (The Oaks at Byron Center)
• Stephanie Trombley, MS, OTR/L

• Social Worker in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.