Individual provider Active NPI

Kimberly Varga, LMSW

  • Clinical Social Worker
  • Southgate, MI
National Provider Identifier
1508316100
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801100359 Issued in MI
Practice address
19291 Northline Rd
Southgate, MI 48195-2220
Phone
(734) 785-7726
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 6801100359 MI Primary

Addresses

Primary practice location

19291 Northline Rd
Southgate, MI 48195-2220

Mailing address

882 Oakman Blvd
Detroit, MI 48238-3710

Other names 1

  • Kimberly Renee Kassab 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
I20190304001052 MI Practitioner - Clinical Social Worker 1456690700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Guidance CenterGroup PAC ID 8022171735, 25 clinicians

Practice addresses (Care Compare)

13101 Allen Rd
Southgate, MI 48195-2216
Phone (734) 785-7700

13333 Allen Rd
Southgate, MI 48195-2216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100359MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Team Mental Health Services Inc. CurrentSince Apr 20, 2020 Accepting new patients
Neighborhood Service Organization CurrentSince May 12, 2025 Accepting new patients
Hegira Health, Inc Clinical CurrentSince Sep 30, 2021 Accepting new patients
Hegira Health, Inc. CurrentSince Sep 30, 2021 Accepting new patients
Team Wellness Center CurrentSince Apr 20, 2020 Accepting new patients
The Guidance Center CurrentSince Dec 31, 2025 Accepting new patients

Locations

43825 Michigan Ave
Canton, MI 48188
Phone (734) 397-3088

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

8600 Woodward Ave
Detroit, MI 48202
Phone (313) 875-7601

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

26184 Outer Dr
Lincoln Park, MI 48146
Phone (313) 389-7500

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

19291 Northline Rd
Southgate, MI 48195
Phone (734) 287-1500

14799 Dix Toledo Rd
Southgate, MI 48195
Phone (888) 813-8326

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

8623 N Wayne Rd
Ste 104
Westland, MI 48185
Phone (734) 469-2770

Organizations & group practices 6

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1508316100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 OAKMAN BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482383710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19291 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952220",
            "telephone_number": "734-785-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGA",
        "first_name": "KIMBERLY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KASSAB",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.