Kristen Leighanne Shepherd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094151 Issued in MI

Practice address

10 W 30TH St
Holland, MI 49423-5021

Phone

(248) 444-1735

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

University of Michigan Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Landmark Therapy LLCGroup PAC ID 2264785302, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Landmark Therapy LLC

  • Social Worker
  • Southfield, MI
  • NPI 1225520133
  Medicare reassignment Care Compare group
• Landmark Therapy PLLC

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1629836606
  Medicare reassignment NPD

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1255831558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W 30TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235021",
            "telephone_number": "248-444-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W 30TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235021",
            "telephone_number": "248-444-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "KRISTEN",
        "middle_name": "LEIGHANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholai Christian Shaw
• India Shear
• Bailey Danielle Shelters, AT, ATC
• Kenedy M Shelton
• Hao Shen, D.O.
• Bryan Wesley Shields, DDS
• Caitlin Elisabeth Shoemaker
• Hannah Jane Shook, PA
• Ronald Garett Shook, DO
• Shoreline Orthopaedic & Sports Medicine Clinic,PLC

• Clinical Social Worker in Holland, MI
• Providers in Holland, 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 Feb 14, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.