Ralph Fenton Kanaar, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801010053 Issued in MI

Practice address

789 N Clare Ave
Harrison, MI 48625-9194

Phone

(989) 539-2141

Fax

(989) 539-2143

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Ausable Valley Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Tawas City, MI
  • NPI 1417011701
  NPD (past)
• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892

  Clinical

  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285769018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 E SHORE DR",
            "city": "ALGER",
            "state": "MI",
            "postal_code": "486109646",
            "telephone_number": "989-345-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 N CLARE AVE",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259194",
            "telephone_number": "989-539-2141",
            "fax_number": "989-539-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAAR",
        "first_name": "RALPH",
        "middle_name": "FENTON",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801010053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HLM Therapy Services, LLC
• Kelci Hyde
• Interlude Massage and Wellness
• Aspen Mae Ireland, RN
• Kathrynn Jean Johnston
• Kasie Cooper Therapy LLC
• Richard Hugo Kindermann, LMSW
• Kirby's Adult Foster Care Services Inc.
• Connie D Knapper, CNP
• Terri L Koehler, RPH

• Clinical Social Worker in Harrison, MI
• Providers in Harrison, 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 Jul 8, 2007; 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.