Individual provider Active NPI

Kristen Kae Salvatore, LMSW

  • Clinical Social Worker
  • Okemos, MI
National Provider Identifier
1528425337
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096377 Issued in MI
Practice address
2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone
(734) 707-1995
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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 6801096377 MI Primary

Addresses

Primary practice location

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604

Mailing address

2222 W Grand River Ave Ste a
Okemos, MI 48864-1604
Phone (734) 707-1995

Other practice location 1

100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Phone (215) 709-3177

Other practice location 2

250 Monroe Ave NW Ste 400
Grand Rapids, MI 49503-2293
Phone (616) 441-4616

Other practice location 3

4250 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 764-6443

Other names 1

  • Kristen Kae Miner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160421002247 MI Practitioner - Clinical Social Worker 3072812288 Reassigns benefits to 1 organization
I20251106001990 PA Practitioner - Clinical Social Worker 3072812288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen Miner, LLC Clinical CurrentSince Mar 12, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 4, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 2

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1528425337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "734-707-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604",
            "telephone_number": "734-707-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S Juniper St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191071316",
            "country_code": "US",
            "telephone_number": "215-709-3177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Monroe Ave NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032293",
            "country_code": "US",
            "telephone_number": "616-441-4616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481092700",
            "country_code": "US",
            "telephone_number": "734-764-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVATORE",
        "first_name": "KRISTEN",
        "middle_name": "KAE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MINER",
            "middle_name": "KAE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.