Individual provider Active NPI

Kathryn S Kurtz, LMSW

  • Clinical Social Worker
  • Marquette, MI
National Provider Identifier
1306229133
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
68-01095811 Issued in MI
Practice address
202 W Washington St Unit 577
Marquette, MI 49855-6023
Phone
(231) 878-3807
Fax
(906) 225-5533
NPI assigned
Jun 29, 2015
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 68-01095811 MI Primary

Addresses

Primary practice location

202 W Washington St Unit 577
Marquette, MI 49855-6023

Mailing address

PO Box 577
Marquette, MI 49855-0577
Phone (231) 878-3807

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150925001903 MI Practitioner - Clinical Social Worker 8325356231 Reassigns benefits to 2 organizations
Practice locations: Marquette, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

135 E
M35
Gwinn, MI 49841-9160
Phone (906) 346-9275

202 W Washington St
Unit 577
Marquette, MI 49855-6023
Phone (231) 878-3807

301 Explorer St
Gwinn, MI 49841-2813
Phone (906) 346-4924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68-01095811MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Great Lakes Family Health Center CurrentSince Jul 24, 2019 Accepting new patients
Upper Great Lakes Family Health Center CurrentSince Jul 24, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 25, 2015 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 25, 2015 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Upper Great Lakes Family Health Center Current Accepting new patients
Mind Matter LLC Clinical Past Accepting new patients

Locations

135 E State Highway M35
Gwinn, MI 49841
Phone (906) 346-9275

301 Explorer St
Gwinn, MI 49841
Phone (906) 346-4924

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

Interoperability endpoints

  • Direct secure messaging: kathryn.kurtz@uglfhc.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1306229133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498550577",
            "telephone_number": "231-878-3807",
            "fax_number": "906-483-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W WASHINGTON ST UNIT 577",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498556023",
            "telephone_number": "231-878-3807",
            "fax_number": "906-225-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "68-01095811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.