Individual provider Active NPI

Kaitlyn Oates, LMSW

  • Clinical Social Worker
  • Mio, MI
National Provider Identifier
1346986643
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1110 W 8TH St
Mio, MI 48647-9140
Phone
(989) 785-4855
Fax
(989) 318-4606
NPI assigned
May 10, 2022
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1110 W 8TH St
Mio, MI 48647-9140

Mailing address

PO Box 93
Mio, MI 48647-0093
Phone (989) 335-3690

Other practice location 1

200 S Deyarmond St
Mio, MI 48647-9108
Phone (989) 335-3690

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
I20240907000476 MI Practitioner - Clinical Social Worker 6901346717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

604 W 11TH St
Mio, MI 48647-9622
Phone (989) 335-3690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Every Little Piece Counseling PLLC Social Worker CurrentSince Jan 2, 2025 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Aug 8, 2024 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Aug 8, 2024 Accepting new patients

Locations

11899 M 32
Atlanta, MI 49709
Phone (866) 808-7540

1110 W 8th St
Mio, MI 48647
Phone (989) 826-2400

Organizations & group practices 3

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1346986643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486470093",
            "telephone_number": "989-335-3690",
            "fax_number": "989-286-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 8TH ST",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486479140",
            "telephone_number": "989-785-4855",
            "fax_number": "989-318-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Deyarmond St",
            "address_purpose": "LOCATION",
            "city": "Mio",
            "state": "MI",
            "postal_code": "486479108",
            "country_code": "US",
            "telephone_number": "989-335-3690",
            "fax_number": "989-286-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OATES",
        "first_name": "KAITLYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mio, MI

Sources for this page

Verify at the official NPI Registry.