Elizabeth Samantha Kole, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801105598 Issued in MI

Practice address

6960 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322-4523

Phone

(248) 648-3406

NPI assigned

May 21, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

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.

• Huffmaster Therapeutic Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Royal Oak, MI
  • NPI 1033849823
  Medicare reassignment NPD

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

{
    "created_epoch": "1495324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1265969224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HUMPHREY AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480093642",
            "telephone_number": "248-444-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 ORCHARD LAKE RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224523",
            "telephone_number": "248-648-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLE",
        "first_name": "ELIZABETH",
        "middle_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-21",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100998",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801105598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Knight, D.O.
• Sydney Knisley
• Wendy L Koebel, LMSW ACSW
• Avi Yehuda Kohn
• Bernard Kole, M.D.
• Brian J Kolender, M.D.
• Cassandra Kondylis, ACNPC-AG
• Zena Riyadh Konja, PA-C
• Ramya Konnai
• Tressa Elizabeth Konnie

• Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.