Individual provider Active NPI

Kimberly M Muntz, LMSW

  • Clinical Social Worker
  • Saline, MI
National Provider Identifier
1316254980
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093956 Issued in MI
Practice address
1235 Industrial Dr
Suite 4
Saline, MI 48176-1741
Phone
(734) 944-8300
NPI assigned
Sep 2, 2010
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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 6801093956 MI Primary

Addresses

Primary practice location

1235 Industrial Dr
Suite 4
Saline, MI 48176-1741

Mailing address

1235 Industrial Dr
Ste 4
Saline, MI 48176-1741
Phone (734) 944-8300

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
I20140410001924 MI Practitioner - Clinical Social Worker 0941432603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family Psychiatry PLCGroup PAC ID 7012985237, 10 clinicians

Practice addresses (Care Compare)

1235 Industrial Dr
Suite 4
Saline, MI 48176-1742
Phone (734) 944-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093956MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Psychiatry, PLC Clinical CurrentSince Mar 1, 2014 Accepting new patients
Center for Family Psychiatry, PLC Clinical CurrentSince Mar 1, 2014 Accepting new patients

Locations

1235 Industrial Dr
Saline, MI 48176
Phone (734) 263-9276

1235 Industrial Dr
Ste 4
Saline, MI 48176
Phone (734) 944-8300

Organizations & group practices 2

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1316254980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR",
            "address_2": "STE 4",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761741",
            "telephone_number": "734-944-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR",
            "address_2": "SUITE 4",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761741",
            "telephone_number": "734-944-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNTZ",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.