Individual provider Active NPI

Kathryn T Fox, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1316332653
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094527 Issued in MI
Practice address
1500 E Medical Center Dr
7TH Floor CS Mott Childrens Hospital Recp B
Ann Arbor, MI 48109-4257
Phone
(734) 936-9814
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801094527 MI
Clinical Social Worker 1041C0700X 6801094527 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
7TH Floor CS Mott Childrens Hospital Recp B
Ann Arbor, MI 48109-4257

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

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
I20150526002046 MI Practitioner - Clinical Social Worker 4082934435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

117 N 1St St
Suite 113
Ann Arbor, MI 48104-1354
Phone (734) 623-9903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094527MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Fox LMSW LLC Clinical CurrentSince Sep 28, 2022 Accepting new patients

Locations

117 N 1st St
Ste 113
Ann Arbor, MI 48104
Phone (480) 250-4516

455 E Eisenhower Pkwy
Ste 300204
Ann Arbor, MI 48108
Phone (734) 623-9903

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1316332653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "7TH FLOOR CS MOTT CHILDRENS HOSPITAL RECP B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094257",
            "telephone_number": "734-936-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "KATHRYN",
        "middle_name": "T",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094527",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.