Individual provider Active NPI

Kathleen Anne Hartman-McCarthy, LCSW

  • Clinical Social Worker
  • Charlotte, MI
National Provider Identifier
1386748820
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004490A Issued in IN
Practice address
1616 E Clinton TRL
Charlotte, MI 48813-9334
Phone
(219) 242-4862
Fax
(219) 529-6297
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004490A IN Primary
Clinical Social Worker 1041C0700X 6801114278 MI

Addresses

Primary practice location

1616 E Clinton TRL
Charlotte, MI 48813-9334

Mailing address

1616 E Clinton TRL
Charlotte, MI 48813-9334
Phone (219) 242-4862

Other practice location 1

2106 Morthland Dr # 1133
Valparaiso, IN 46383-5914
Phone (219) 242-4862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150625000433 IN Practitioner - Clinical Social Worker 9537169172 Reassigns benefits to 1 organization
I20240410003899 MI Practitioner - Clinical Social Worker 9537169172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2106 Morthland Dr
Suite 1133
Valparaiso, IN 46383-5914
Phone (219) 242-4862

996 Arbogast Rd
Union City, MI 49094-9750
Phone (219) 242-4862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004490AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
McCarthy Counseling Services, LLC Clinical CurrentSince Mar 1, 2024 Accepting new patients
Southlake Community Mental Health Center, Inc. Past Accepting new patients

Locations

2106 Morthland Dr
Valparaiso, IN 46383
Phone (219) 242-4862

123 Ellen St
#62
Union City, MI 49094
Phone (219) 242-4862

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1386748820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E CLINTON TRL",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488139334",
            "telephone_number": "219-242-4862",
            "fax_number": "219-529-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E CLINTON TRL",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488139334",
            "telephone_number": "219-242-4862",
            "fax_number": "219-529-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Morthland Dr # 1133",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463835914",
            "country_code": "US",
            "telephone_number": "219-242-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN-MCCARTHY",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004490A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.