Active NPI
Atis Kleinbergs, LMSW
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1255777686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801080145
- Practice address
- 1800 Brentwood Ave
Kalamazoo, MI 49008-1861 - Phone
- (269) 267-2612
- NPI assigned
- May 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801080145 | MI | |
| Clinical Social Worker | 1041C0700X | 6801080145 | MI | Primary |
| School Social Worker | 1041S0200X | 6801080145 | MI |
Addresses
Primary practice location
1800 Brentwood Ave
Kalamazoo, MI 49008-1861
Mailing address
1800 Brentwood Ave
Kalamazoo, MI 49008-1861
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801080145 | MI | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1255777686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BRENTWOOD AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BRENTWOOD AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081861",
"telephone_number": "269-267-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINBERGS",
"first_name": "ATIS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801080145",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801080145",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801080145",
"primary": false
}
],
"identifiers": [],
"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 May 13, 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.