Individual provider Active NPI

Kaitlin Wright, LMSW, LICSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1497365589
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2020 Hogback Rd Ste 11
Ann Arbor, MI 48105-9752
Phone
(952) 836-4288
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2020 Hogback Rd Ste 11
Ann Arbor, MI 48105-9752

Mailing address

2020 Hogback Rd Ste 11
Ann Arbor, MI 48105-9752
Phone (952) 836-4288

Other practice location 1

905 S Harvey St
Plymouth, MI 48170-2027
Phone (952) 836-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Embody Therapy and Birth Work Clinical Current Accepting new patients
South Bay Mental Health Center, Inc. PastSince Aug 1, 2020 Accepting new patients
SB Transitional Sub, LLC Community/Behavioral Health PastSince May 17, 2021 Accepting new patients

Locations

2020 Hogback Rd
Ste 11
Ann Arbor, MI 48105
Phone (734) 215-7392

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1497365589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD STE 11",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "952-836-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOGBACK RD STE 11",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059752",
            "telephone_number": "952-836-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 S Harvey St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481702027",
            "country_code": "US",
            "telephone_number": "952-836-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KAITLIN",
        "credential": "LMSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.