Active NPI
Karen Bonebright Soule, LMSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1245667716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086989
- Practice address
- 418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334 - Phone
- (269) 553-7157
- Fax
- (269) 553-7129
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801086989 | MI | Primary |
Addresses
Primary practice location
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Mailing address
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Phone (269) 553-7157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3313413 | Other | MI | COMMUNITY MENTAL HEALTH AND SUBSTANCE ABSUE SERVICES. |
| 6801086989 | Other | MI | MICHIGAN DEPT OF COMMUNITY HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801086989 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1245667716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-553-7157",
"fax_number": "269-553-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-553-7157",
"fax_number": "269-553-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOULE",
"first_name": "KAREN",
"middle_name": "BONEBRIGHT",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY MENTAL HEALTH AND SUBSTANCE ABSUE SERVICES.",
"identifier": "38-3313413",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPT OF COMMUNITY HEALTH",
"identifier": "6801086989",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.