Active NPI
Kathleen Ann Sheffield, LMSW
- Clinical Social Worker
- Cassopolis, MI
National Provider Identifier
1417177288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801089023
- Practice address
- 960 E State St
Cassopolis, MI 49031-9339 - Phone
- (269) 445-2451
- Fax
- (269) 445-3216
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801089023 | MI | Primary |
Addresses
Primary practice location
960 E State St
Cassopolis, MI 49031-9339
Mailing address
5722 S Bridgeton LN
South Bend, IN 46614-6317
Phone (574) 220-6141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 774349006 | Medicaid | MI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801089023 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1417177288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 S BRIDGETON LN",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466146317",
"telephone_number": "574-220-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 E STATE ST",
"city": "CASSOPOLIS",
"state": "MI",
"postal_code": "490319339",
"telephone_number": "269-445-2451",
"fax_number": "269-445-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFIELD",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801089023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "774349006",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cassopolis, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.