Kathryn Louise Hartman-Sheridan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801081072 Issued in MI

Practice address

1001 E 5TH St
Royal Oak, MI 48067-2812

Phone

(248) 505-8473

NPI assigned

Dec 9, 2021

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

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Megan Gunnell LMSWGroup PAC ID 0446607220, 4 clinicians

Practice addresses (Care Compare)

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.

• Megan Gunnell, LMSW

  • Clinical Social Worker
  • Grosse Pointe Park, MI
  • NPI 1609484666
  Medicare reassignment Care Compare group NPD
• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  Medicare reassignment NPD
• Team Mental Health Services Inc.

  • Primary Care Clinic/Center
  • Detroit, MI
  • NPI 1295324291
  NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1306505151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E 5TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672812",
            "telephone_number": "248-505-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 5TH ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672812",
            "telephone_number": "248-505-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN-SHERIDAN",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "1001 E 5th St",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480672812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harry Wasvary, M.D.,PC
• James Hart, CRNA
• Jason Hart
• Suhad Sue Hart
• Sarah Hartkop, M.D.
• Hartrick Family Dentistry P C
• Craig T Hartrick, MD
• Nancy Elizabeth Hartrick, D.D.S.
• Sa'Ed Hasan, M.D
• Tarek Shawky Hassan, MD

• Clinical Social Worker in Royal Oak, MI
• Providers in Royal Oak, 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 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.