Kenneth J Meisel, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801065187 Issued in MI

Practice address

22811 Mack Ave Ste 107
Saint Clair Shores, MI 48080-2053

Phone

(586) 774-9303

NPI assigned

Jun 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1376837419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22811 MACK AVE STE 107",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802053",
            "telephone_number": "586-774-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 MACK AVE STE 107",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802053",
            "telephone_number": "586-774-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISEL",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801065187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrtle Charisse Means, PHD
• Karissa Claire Medulla
• Daniel DJ Megler, MD
• Ahmed Abdel Meguid, MD
• Aston Mehr
• Maria Amelia Menozzi, LMFT, CAADC
• Mental Mix Therapy PLLC
• Mental Wellness Restored
• Barry Allem Mentzel, D.D.S.
• Jose A Mercado-Francis, MD

• Clinical Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, 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 Jun 7, 2011; 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.