Kathryn Louise Pelz-Davis, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801010917 Issued in MI

Practice address

118 W Jefferson St
Ann Arbor, MI 48103-4910

Phone

(734) 572-0882

Fax

(734) 663-9789

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 8, 2016 through Jan 8, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Therapy Associates of Ann Arbor

  • Psychologist
  • Ann Arbor, MI
  • NPI 1447201710

  Clinical

  NPD (past)
• Family Therapy Associates of Ann Arbor

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1962699165
  NPD (past)

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1225223340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W JEFFERSON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034910",
            "telephone_number": "734-572-0882",
            "fax_number": "734-663-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W JEFFERSON ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034910",
            "telephone_number": "734-572-0882",
            "fax_number": "734-663-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZ-DAVIS",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801010917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Pekarek, FNP-C
• Bridget M Pekrul, M.D.
• Kristen Pelland
• Armaity Pellegrini, LMSW
• Frank Pelosi Jr., MD
• Robert Christopher Pena, MD, MENG
• Gabrylle Penaflorida
• Tricia Rae Pendergrast, MD
• Tyler Pendleton, PHD
• Kelsey Elyse Penebaker

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.