Individual provider Active NPI

Kristin Dione Kempf-Roffers, LMSW

  • Clinical Social Worker
  • Sault Sainte Marie, MI
National Provider Identifier
1578006177
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111193 Issued in MI
Practice address
605 E 7TH Ave Apt 9
Sault Sainte Marie, MI 49783-3111
Phone
(906) 635-7270
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 6801100384 MI
Clinical Social Worker 1041C0700X 6801111193 MI Primary

Addresses

Primary practice location

605 E 7TH Ave Apt 9
Sault Sainte Marie, MI 49783-3111

Mailing address

2864 Ashman Street
Office #331
Sault Ste Marie, MI 49783
Phone (906) 635-6075

Other names 1

  • Kristin Dione Kempf 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
I20230802002791 MI Order and Referring Only - Clinical Social Worker 8921469289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100384MIMDClinical Social Worker
6801111193MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weber and Devers Psychological Services, P.C. Clinical PastSince May 19, 2018 Accepting new patients

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1578006177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 ASHMAN STREET",
            "address_2": "OFFICE #331",
            "city": "SAULT STE MARIE",
            "state": "MI",
            "postal_code": "49783",
            "telephone_number": "906-635-6075",
            "fax_number": "906-635-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 7TH AVE APT 9",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833111",
            "telephone_number": "906-635-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPF-ROFFERS",
        "first_name": "KRISTIN",
        "middle_name": "DIONE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100384",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KEMPF",
            "middle_name": "DIONE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sault Sainte Marie, MI

Sources for this page

Verify at the official NPI Registry.