Individual provider Active NPI

Kevin Munson, LMSW

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1366815466
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801104298 Issued in MI
Practice address
7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone
(269) 345-0273
Fax
(269) 345-8522
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801104298 MI Primary

Addresses

Primary practice location

7100 Stadium Dr
Kalamazoo, MI 49009-9423

Mailing address

7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone (269) 345-0273

Other identifiers 1

IdentifierTypeStateIssuer
6801104298OtherMILARA MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801104298MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of Southwest Michigan CurrentSince Mar 1, 2020 Accepting new patients
Hospice Care of Southwest Michigan PastSince Mar 1, 2020 Accepting new patients

Locations

7100 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 345-0273

222 N Kalamazoo Mall
Ste 100
Kalamazoo, MI 49007
Phone (269) 345-0273

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1366815466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099423",
            "telephone_number": "269-345-0273",
            "fax_number": "269-345-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099423",
            "telephone_number": "269-345-0273",
            "fax_number": "269-345-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "KEVIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801104298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA MICHIGAN",
            "identifier": "6801104298",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.