Individual provider Active NPI

Kimberly A Olmsted, LMSW

  • Clinical Social Worker
  • Adrian, MI
National Provider Identifier
1215643176
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093180 Issued in MI
Practice address
142 E Maumee St Ste 3
Adrian, MI 49221-2735
Phone
(517) 263-5810
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 6801093180 MI
Clinical Social Worker 1041C0700X 6801093180 MI Primary

Addresses

Primary practice location

142 E Maumee St Ste 3
Adrian, MI 49221-2735

Mailing address

906 Oak Brook Dr
Jackson, MI 49203-2672
Phone (517) 392-0404

Other practice location 1

906 Oak Brook Dr
Jackson, MI 49203-2672
Phone (517) 392-0404

Other practice location 2

915 Airport Rd
Jackson, MI 49202-1872
Phone (248) 672-7244

Other names 1

  • Kimberly Hoaglin 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
I20230207000439 MI Practitioner - Clinical Social Worker 4789056409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acpc PLLCGroup PAC ID 4981947850, 19 clinicians

Practice addresses (Care Compare)

142 E Maumee St
Suite 3
Adrian, MI 49221-2735
Phone (517) 263-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093180MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acpc PLLC CurrentSince Jan 15, 2023 Accepting new patients
Wireman Counseling Innovations LLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

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

915 Airport Rd
Jackson, MI 49202
Phone (517) 206-3016

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1215643176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 OAK BROOK DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032672",
            "telephone_number": "517-392-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST STE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-263-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Oak Brook Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492032672",
            "country_code": "US",
            "telephone_number": "517-392-0404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492021872",
            "country_code": "US",
            "telephone_number": "248-672-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMSTED",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093180",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HOAGLIN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.