Individual provider Active NPI

Catherine Anne Kattula-Klink, LMSW

  • Clinical Social Worker
  • Jackson, MI
National Provider Identifier
1215178306
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081759 Issued in MI
Practice address
950 W Monroe St
Suite 500
Jackson, MI 49202-2079
Phone
(517) 788-8330
Fax
(517) 788-5952
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801081759 MI Primary

Addresses

Primary practice location

950 W Monroe St
Suite 500
Jackson, MI 49202-2079

Mailing address

950 W Monroe St
Suite 500
Jackson, MI 49202-2079
Phone (517) 788-8330

Other names 1

  • Catherine Anne Kattula Former name

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
I20090506000383 MI Practitioner - Clinical Social Worker 0749338499 Practice locations: Jackson, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2575 Spring Arbor Rd
Suite 300
Jackson, MI 49203-3652
Phone (517) 788-8330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Soteria Enterprises, PLLC Clinical Past Accepting new patients

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": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1215178306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST",
            "address_2": "SUITE 500",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022079",
            "telephone_number": "517-788-8330",
            "fax_number": "517-788-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W MONROE ST",
            "address_2": "SUITE 500",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022079",
            "telephone_number": "517-788-8330",
            "fax_number": "517-788-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTULA-KLINK",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "KATTULA",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.