Individual provider Active NPI

Kayle Amber Satterwhite, LMSW, CAADC

  • Clinical Social Worker
  • Bay City, MI
National Provider Identifier
1477023653
Registry record updated Aug 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801118782 Issued in MI
Practice address
1009 Washington Ave
Bay City, MI 48708-5705
Phone
(989) 928-3566
Fax
(989) 391-9596
NPI assigned
Nov 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SA0090077 MI
Clinical Social Worker 1041C0700X 6801118782 MI Primary

Addresses

Primary practice location

1009 Washington Ave
Bay City, MI 48708-5705

Mailing address

1105 Langstaff St
Essexville, MI 48732-1371
Phone (989) 415-1128

Other practice location 1

1105 Langstaff St
Essexville, MI 48732-1371
Phone (989) 415-1128

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004344 MI Practitioner - Clinical Social Worker 4789123035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recovery Pathways LLCGroup PAC ID 3971792326, 9 clinicians

Practice addresses (Care Compare)

1009 Washington Ave
Bay City, MI 48708-5705
Phone (989) 928-3566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA0090077MIMDAddiction (Substance Use Disorder) Counselor
6801118782MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Pathways, LLC CurrentSince Aug 16, 2024 Accepting new patients
True North Integrative Counseling, LLC Clinical CurrentSince Aug 25, 2024 Accepting new patients

Locations

1009 Washington Ave
Bay City, MI 48708

211 N Shiawassee St
Ste A
Corunna, MI 48817
Phone (989) 494-0404

Interoperability endpoints

  • Direct secure messaging: recoverypathways.kaylewisniewski@146773.advancedmd-direct.com

Organizations & group practices 3

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723939200000",
    "number": "1477023653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 LANGSTAFF ST",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321371",
            "telephone_number": "989-415-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 WASHINGTON AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085705",
            "telephone_number": "989-928-3566",
            "fax_number": "989-391-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Langstaff St",
            "address_purpose": "LOCATION",
            "city": "Essexville",
            "state": "MI",
            "postal_code": "487321371",
            "country_code": "US",
            "telephone_number": "989-415-1128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATTERWHITE",
        "first_name": "KAYLE",
        "middle_name": "AMBER",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2024-08-18",
        "certification_date": "2024-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SA0090077",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801118782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.