Kristine M Nessel-Taha, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083794 Issued in MI

Practice address

25507 Ecorse Rd
Taylor, MI 48180-1555

Phone

(313) 292-7640

Fax

(313) 292-9270

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristine M Bagayoko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Aspire Therapy Services, PLLC

  • Psychologist
  • Farmington Hills, MI
  • NPI 1093190100
  NPD (past)
• Senior Counseling Services LLC

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1851719884
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1386768653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313038",
            "telephone_number": "484-762-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25507 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801555",
            "telephone_number": "313-292-7640",
            "fax_number": "313-292-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESSEL-TAHA",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "BAGAYOKO",
            "middle_name": "M",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rodica Nastasie, M.D.
• Rajashree Natarajan, AUD CCC-A
• National Medical & Equipment Supplies
• National Rehab Service, Inc
• Carli Marie Lynn Nelson
• Nester Chiropractic PLLC
• David Alan Nester, D.C.
• Neurological Associates, P.C.
• New Dawn Health and Staffing LLC
• New Dawn LLC

• Clinical Social Worker in Taylor, MI
• Providers in Taylor, 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 Apr 2, 2018; 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.