Kathleen Rene' Wade-Jones, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801087438 Issued in MI

Practice address

151 S Rose St
Suite 617
Kalamazoo, MI 49007-4792

Phone

(269) 350-5661

Fax

(269) 350-5501

NPI assigned

Feb 10, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1265823462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S ROSE ST",
            "address_2": "SUITE 617",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074792",
            "telephone_number": "269-350-5661",
            "fax_number": "269-350-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S ROSE ST",
            "address_2": "SUITE 617",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074792",
            "telephone_number": "269-350-5661",
            "fax_number": "269-350-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-JONES",
        "first_name": "KATHLEEN",
        "middle_name": "RENE'",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Vuyst
• Chetan Vyas, M.D.
• W & D Lavalley Inc.
• Mallory Waayenberg
• Kristen Elizabeth Waber
• Bryce Wade, LPC
• Colene M. Wade, PA-C
• Pamela J Wadsworth, NP
• Beth A Wagenvelt, NP
• David J Wagner, ED.D.

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, 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 Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.