Active NPI
Kenitra L. Webster, LMSW
- Clinical Social Worker
- Brighton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801108243
- Practice address
- 2200 Genoa Business Park Dr
Brighton, MI 48114-5328 - Phone
- (517) 882-3732
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801108243 | MI | Primary |
Addresses
Primary practice location
2200 Genoa Business Park Dr
Brighton, MI 48114-5328
Mailing address
2200 Genoa Business Park Dr
Brighton, MI 48114-5328
Phone (517) 882-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801108243 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Mental Health Clinic PC | Clinical | Current | Accepting new patients |
| Downriver Mental Health Clinic PC | Clinical | Current | Accepting new patients |
Locations
2350 Green Rd
Ste 160
Ann Arbor, MI 48105
Phone (315) 771-4657
2350 Green Rd
Ste 150160
Ann Arbor, MI 48105
Phone (734) 285-8282
2200 Genoa Business Park Dr
Ste 100
Brighton, MI 48114
Phone (810) 449-7180
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
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": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1538914692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 GENOA BUSINESS PARK DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145328",
"telephone_number": "517-882-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 GENOA BUSINESS PARK DR",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145328",
"telephone_number": "517-882-3732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "KENITRA",
"middle_name": "L.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2024-04-22",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801108243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.