Magan Gayle Krim, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801108650 Issued in MI

Practice address

1662 E Centre Ave
Portage, MI 49002-4496

Phone

(269) 321-8564

NPI assigned

Mar 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Magan Gayle Scully Former name

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": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1487230561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024496",
            "telephone_number": "269-321-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 E CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024496",
            "telephone_number": "269-321-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIM",
        "first_name": "MAGAN",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGAN",
            "last_name": "SCULLY",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "credential": "BSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Kool, NP
• Dennis H Kordish, PA
• Bianca Koupparis-Roeser, DPT,PT
• Auville Milford Krause, D.D.S.
• Patricia V Krautmann
• Christina Kroes, LLMSW
• Nancy Ellen Krolikowski, O.T.
• Kayla Kuiper
• Matthew Lars Kuiper, DO
• Sophia Kurnyak

• Clinical Social Worker in Portage, MI
• Providers in Portage, 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 Aug 28, 2026; 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.