Diane M. Kukulis, ACSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801072048 Issued in MI

Practice address

4798 Wenmar Dr
Saginaw, MI 48604-2843

Phone

(989) 790-2005

Fax

(989) 686-2603

NPI assigned

Jan 11, 2007

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)

Enrolled

State licenses

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.

• Little House on Mackinaw, LLC

  • Clinical Social Worker
  • Bay City, MI
  • NPI 1639831993
  NPD Authorized official
• Child and Family Service of Saginaw County

  • Addiction (Substance Use Disorder) Counselor
  • Saginaw, MI
  • NPI 1124763495
  NPD (past)
• Child and Family Service of Saginaw County

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1720069602
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477603421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-790-2005",
            "fax_number": "989-686-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-790-2005",
            "fax_number": "989-686-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKULIS",
        "first_name": "DIANE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "ACSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801072048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Kay Kuhl
• Jason Edward Kuhn, D.O.
• Kelly Ann Kujawa, RRT
• Christopher Kukla, PA
• Nolan Kukla
• Jill Darlene Kukulis, MSW
• Noreen E Kulhanek, LMSW, CAADC
• Maria Lynn Kulick
• Mark Francis Kuligowski, DO
• Jasvant Kumar, MBBS

• Clinical Social Worker in Saginaw, MI
• Providers in Saginaw, 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 Jul 9, 2007; 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.