Individual provider Active NPI

Kara Nicolosi, LMSW

  • Clinical Social Worker
  • Commerce Township, MI
National Provider Identifier
1376012237
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108656 Issued in MI
Practice address
2000 E Oakley Park Rd Ste 250C
Commerce Township, MI 48390-1500
Phone
(248) 385-2153
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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 6801108656 MI Primary

Addresses

Primary practice location

2000 E Oakley Park Rd Ste 250C
Commerce Township, MI 48390-1500

Mailing address

2000 E Oakley Park Rd Ste 250C
Commerce Township, MI 48390-1500
Phone (248) 385-2153

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
I20210429000801 MI Practitioner - Clinical Social Worker 3779992995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Brighton Center for RecoveryGroup PAC ID 2668466996, 15 clinicians

Practice addresses (Care Compare)

12851 Grand River Rd
Brighton, MI 48116-8506
Phone (810) 225-2506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Apr 28, 2021 Accepting new patients
Reed Behavioral Health PLLC Social Worker CurrentSince Jun 29, 2025 Accepting new patients
Henry Ford Health Brighton Center for Recovery CurrentSince Nov 20, 2023 Accepting new patients

Locations

12851 Grand River Rd
Brighton, MI 48116
Phone (810) 225-2506

2000 E Oakley Park Rd
Ste 250C
Commerce Township, MI 48390
Phone (248) 385-2153

41700 Gardenbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 429-7309

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

Interoperability endpoints

  • Direct secure messaging: knicolosi759375@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1376012237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E OAKLEY PARK RD STE 250C",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901500",
            "telephone_number": "248-385-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E OAKLEY PARK RD STE 250C",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901500",
            "telephone_number": "248-385-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLOSI",
        "first_name": "KARA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.