Individual provider Active NPI

Craig Vankempen, LMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1558604850
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092880 Issued in MI
Practice address
2751 E Jefferson Ave
Suite 301
Detroit, MI 48207-4180
Phone
(313) 446-9805
Fax
(313) 446-9839
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 6801092880 MI Primary

Addresses

Primary practice location

2751 E Jefferson Ave
Suite 301
Detroit, MI 48207-4180

Mailing address

2751 E Jefferson Ave
Suite 301
Detroit, MI 48207-4180
Phone (313) 446-9805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801092880MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heard & Empowered Wellness Clinical CurrentSince Mar 6, 2022 Accepting new patients

Locations

1710 E 12 Mile Rd
Ste 102
Royal Oak, MI 48073
Phone (734) 330-2857

Organizations & group practices 1

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1558604850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 E JEFFERSON AVE",
            "address_2": "SUITE 301",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074180",
            "telephone_number": "313-446-9805",
            "fax_number": "313-446-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 E JEFFERSON AVE",
            "address_2": "SUITE 301",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482074180",
            "telephone_number": "313-446-9805",
            "fax_number": "313-446-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKEMPEN",
        "first_name": "CRAIG",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.