Autumn Renee Kolb-Nash, LBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802081825 Issued in MI

Practice address

41964 Merrimac Cir
Clinton Township, MI 48038-2280

Phone

(586) 263-5647

NPI assigned

Jun 18, 2008

Sex

Female

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1457512808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41964 MERRIMAC CIR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41964 MERRIMAC CIR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382280",
            "telephone_number": "586-263-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB-NASH",
        "first_name": "AUTUMN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802081825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Knight, MA LLP
• Jennifer Mae Knorr
• Rhonda L Kobold, DO
• Cherian Kochuparampil, BS PSYCHOLOGY
• Karen Marie Koenigbauer, LBSW
• Jewel Konja, PHARMD
• Bryan John Kopke, DO
• Noora Yousif Koraeel
• Amanda Koro
• Chelsea Lauren Kortz

• Social Worker in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.