Individual provider Active NPI

Steven Kalbfleisch, LMSW

  • Clinical Social Worker
  • Saint Clair Shores, MI
National Provider Identifier
1225558745
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091767 Issued in MI
Practice address
22777 Harper Ave Ste 104C
Saint Clair Shores, MI 48080-1800
Phone
(810) 394-1598
NPI assigned
Jun 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 6801091767 MI Primary

Addresses

Primary practice location

22777 Harper Ave Ste 104C
Saint Clair Shores, MI 48080-1800

Mailing address

2118 Van Antwerp St
Grosse Pointe Woods, MI 48236-1625

Other practice location 1

2118 Van Antwerp St
Grosse Pointe Woods, MI 48236-1625
Phone (810) 394-1598

Other practice location 2

1709 Emmons Blvd
Lincoln Park, MI 48146-3821
Phone (810) 394-1598

Other practice location 3

18600 Van Horn
Woodhaven, MI 48183-3821
Phone (810) 394-1598

Other practice location 4

135 Riverbank
Wyandotte, MI 48192
Phone (810) 394-1598

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
I20170724002358 MI Practitioner - Clinical Social Worker 8729358767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2118 Van Antwerp St
Grosse Pointe Woods, MI 48236-1625
Phone (810) 394-1598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091767MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Out of Ashes LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1225558745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 VAN ANTWERP ST",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 HARPER AVE STE 104C",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801800",
            "telephone_number": "810-394-1598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2118 Van Antwerp St",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482361625",
            "country_code": "US",
            "telephone_number": "810-394-1598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Emmons Blvd",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481463821",
            "country_code": "US",
            "telephone_number": "810-394-1598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18600 Van Horn",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481833821",
            "country_code": "US",
            "telephone_number": "810-394-1598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Riverbank",
            "address_purpose": "LOCATION",
            "city": "Wyandotte",
            "state": "MI",
            "postal_code": "48192",
            "country_code": "US",
            "telephone_number": "810-394-1598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALBFLEISCH",
        "first_name": "STEVEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.