Individual provider Active NPI

Kathleen Salas, LMSW

  • Clinical Social Worker
  • Battle Creek, MI
National Provider Identifier
1538558085
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090545 Issued in MI
Practice address
491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468
Phone
(269) 962-9611
Fax
(269) 962-9612
NPI assigned
Jan 21, 2015
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 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 6801090545 MI Primary

Addresses

Primary practice location

491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468

Mailing address

778 Columbia Ave W
Battle Creek, MI 49015-3028
Phone (269) 965-3247

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
I20150218001174 MI Practitioner - Clinical Social Worker 4385969294 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090545MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Behavioral Health, PLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1538558085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 COLUMBIA AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153028",
            "telephone_number": "269-965-3247",
            "fax_number": "269-966-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.