Individual provider Active NPI

Mark Kalpin, B.S.

  • Social Worker
  • Warren, MI
National Provider Identifier
1205117652
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000
Phone
(586) 573-1810
Fax
(586) 573-2121
NPI assigned
Aug 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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 Primary

Addresses

Primary practice location

12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000

Mailing address

12220 E 13 Mile Rd
Suite 300
Warren, MI 48093-5000
Phone (586) 573-1810

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Judson Center, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1205117652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 E 13 MILE RD",
            "address_2": "SUITE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935000",
            "telephone_number": "586-573-1810",
            "fax_number": "586-573-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 E 13 MILE RD",
            "address_2": "SUITE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935000",
            "telephone_number": "586-573-1810",
            "fax_number": "586-573-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALPIN",
        "first_name": "MARK",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.