Debra Ann Kerschbaum, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801096096 Issued in MI

Practice address

4730 Scottdale Rd
Saint Joseph, MI 49085-9317

Phone

(269) 429-5180

NPI assigned

Dec 18, 2017

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

• Berrien Mental Health Authority

  dba Riverwood Center

  • Psychiatry Physician
  • Benton Harbor, MI
  • NPI 1033280763
  Medicare reassignment NPD
• Berrien Mental Health Authority

  dba NorthStar Center

  • Psychiatry Physician
  • Saint Joseph, MI
  • NPI 1508801465
  NPD

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1285140954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SCOTTDALE RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859317",
            "telephone_number": "269-429-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 SCOTTDALE RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859317",
            "telephone_number": "269-429-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSCHBAUM",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoey Elizabeth Kay, AGACNP
• Amer M. Kazi, M.D.
• Leah Ke, CERT. ACUPUNCTURIST
• Nicholas George Keinath, OD
• Cynthia-Mendon Kelrick, CNM
• Adil Keskin, MD
• Muhammad Khan, DO
• Mohammed Khatib, DO
• Carol Lynnette Kiel, CCC-SLP
• Johanna Elaine Killian, PA

• Clinical Social Worker in Saint Joseph, MI
• Providers in Saint Joseph, 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 Dec 18, 2017; 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.