Kristi Merrills, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801112332 Issued in MI

Practice address

677 E Main St Ste a
Centreville, MI 49032-8525

Phone

(269) 467-1001

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kristi Merrills PLC

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1700574654
  NPD Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1366801342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST STE A",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328525",
            "telephone_number": "269-467-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST STE A",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328525",
            "telephone_number": "269-467-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILLS",
        "first_name": "KRISTI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087567",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801112332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211708146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Marvin
• Kalisti Katherine Matthews
• Allyssa Grace Mazur-Batistoni
• Megan McDowell-Delgado, MA, BCBA, LBA
• Ann McLauchlin
• Vicky Merrills, MSW LMSW CACI
• Grae Mackenzie Miller, LLMSW,DP-C
• Kathy A. Miller, RN
• Mark Edward Montcalm, PHARM.D.
• Samantha Jo Moody, FNP-C

• Clinical Social Worker in Centreville, MI
• Providers in Centreville, 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 Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.