Individual provider Active NPI

Arlene Giacona, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1508212697
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095986 Issued in MI
Practice address
5380 Holiday Ter Ste 32
Kalamazoo, MI 49009-2128
Phone
(269) 459-1512
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801095986 MI Primary

Addresses

Primary practice location

5380 Holiday Ter Ste 32
Kalamazoo, MI 49009-2128

Mailing address

5320 Holiday Ter Ste 3
Kalamazoo, MI 49009-2100
Phone (269) 599-0976

Other names 1

  • Arlene Kemp Former name

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
I20190703002587 MI Practitioner - Clinical Social Worker 1658606157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health Psychological Services, PLLC CurrentSince Jun 19, 2019 Accepting new patients
Brightside Consulting LLC Clinical CurrentSince Jan 1, 2021 Accepting new patients
Brightside Consulting LLC Clinical Past Accepting new patients

Locations

5320 Holiday Ter
Ste 3
Kalamazoo, MI 49009
Phone (269) 336-5505

5380 Holiday Ter
Ste 32
Kalamazoo, MI 49009
Phone (269) 459-1512

50680 County Road 652
Mattawan, MI 49071
Phone (269) 336-5505

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1508212697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 HOLIDAY TER STE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092100",
            "telephone_number": "269-599-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 HOLIDAY TER STE 32",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092128",
            "telephone_number": "269-459-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACONA",
        "first_name": "ARLENE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLENE",
            "last_name": "KEMP",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.