Individual provider Active NPI

Kathryn M Karanja, LMSW

  • Clinical Social Worker
  • Owosso, MI
National Provider Identifier
1528377017
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801087690 Issued in MI
Practice address
120 W Exchange St
Suite 300
Owosso, MI 48867-2834
Phone
(989) 723-8239
Fax
(989) 723-8230
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800026-SUPV OH
Clinical Social Worker 1041C0700X 6801087690 MI Primary

Addresses

Primary practice location

120 W Exchange St
Suite 300
Owosso, MI 48867-2834

Mailing address

120 W Exchange St
Suite 300
Owosso, MI 48867-2834
Phone (989) 723-8239

Other identifiers 2

IdentifierTypeStateIssuer
I.0800026-SUPVOtherOHLISW-S
6801087690OtherMILMSW

Other names 1

  • Mrs. Kathryn M Rivest 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
I20121207000414 MI Practitioner - Clinical Social Worker 4587816079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Center for Wellness and Recovery LLPGroup PAC ID 1456606334, 3 clinicians

Practice addresses (Care Compare)

2503 S Linden Rd
Suite 210
Flint, MI 48532-5416
Phone (810) 228-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800026-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Center for Wellness and Recovery LLP Clinical CurrentSince Aug 1, 2018 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties Mental Health PastSince Aug 3, 2015 Accepting new patients
Catholic Charities of Shiawassee and Genesee Counties Mental Health Past Accepting new patients

Locations

2503 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 220-4300

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1528377017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W EXCHANGE ST",
            "address_2": "SUITE 300",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672834",
            "telephone_number": "989-723-8239",
            "fax_number": "989-723-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W EXCHANGE ST",
            "address_2": "SUITE 300",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672834",
            "telephone_number": "989-723-8239",
            "fax_number": "989-723-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANJA",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800026-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801087690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW-S",
            "identifier": "I.0800026-SUPV",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "6801087690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "RIVEST",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.