Kathryn Lindsey Wachowski, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085664 Issued in MI

Practice address

1151 Michigan Ave Ste 109
East Lansing, MI 48823-4070

Phone

(517) 897-0507

NPI assigned

Oct 5, 2012

Last updated

Sep 11, 2019By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Mental Health Authority Clinton Eaton Ingham Counties

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1265483457
  Medicare reassignment NPD
• Kate Payne LLC

  • Clinical Social Worker
  • East Lansing, MI
  • NPI 1588211940
  Medicare reassignment NPD
• Kmkimmerly Counseling LLC

  • Social Worker
  • East Lansing, MI
  • NPI 1558607325

  Clinical

  NPD (past)
• Lion Heart Psychiatry, PLLC

  • Psychiatry Physician
  • East Lansing, MI
  • NPI 1154863181
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1275885808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MICHIGAN AVE STE 109",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234070",
            "telephone_number": "517-897-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHOWSKI",
        "first_name": "KATHRYN",
        "middle_name": "LINDSEY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavel Volkov, DO
• Venkataramana Vooradi
• Melani Reaume Vos, PA-C
• Lilly Vu
• Thomas Anthony Vuchetich, DDS
• Kristin Wade
• Shanita Wade
• William Charles Wadland, M.D.
• Deborah Banazak Wagenaar, D.O.
• Dianne P. Wagner, M.D.

• Clinical Social Worker in East Lansing, MI
• Providers in East Lansing, 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 Sep 11, 2019; 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.