Active NPI
Kathryn Jo Fromm, M.S.W.
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1447508114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801094726
- Practice address
- 1402 S Saginaw St
Flint, MI 48503-3705 - Phone
- (810) 496-5814
- NPI assigned
- Aug 28, 2012
- Last updated
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 6801094726 | MI | Primary |
Addresses
Primary practice location
1402 S Saginaw St
Flint, MI 48503-3705
Mailing address
1402 S Saginaw St
Flint, MI 48503-3705
Phone (989) 666-3164
Other practice location 1
805 W Maumee St
Adrian, MI 49221-1901
Phone (517) 266-8880
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside Family Counseling, LLC | Social Worker | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Flint, MI
- NPI 1043554348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1447508114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S SAGINAW ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485033705",
"telephone_number": "989-666-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S SAGINAW ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485033705",
"telephone_number": "810-496-5814"
}
],
"practiceLocations": [
{
"address_1": "805 W Maumee St",
"address_purpose": "LOCATION",
"city": "Adrian",
"state": "MI",
"postal_code": "492211901",
"country_code": "US",
"telephone_number": "517-266-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FROMM",
"first_name": "KATHRYN",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801094726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.