Active NPI
Paul Marcus Kolon, LMSW
- Social Worker
- Paw Paw, MI
National Provider Identifier
1578525077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801033155
- Practice address
- 404 Hazen St
Paw Paw, MI 49079-1040 - Phone
- (269) 657-1559
- Fax
- (269) 657-1534
- NPI assigned
- Apr 3, 2006
- Last updated
- Jul 22, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801033155 | MI | Primary |
Addresses
Primary practice location
404 Hazen St
Paw Paw, MI 49079-1040
Mailing address
404 Hazen St
Paw Paw, MI 49079-1040
Phone (269) 657-1595
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801033155 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1578525077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 HAZEN ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791040",
"telephone_number": "269-657-1595",
"fax_number": "269-657-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 HAZEN ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490791040",
"telephone_number": "269-657-1559",
"fax_number": "269-657-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLON",
"first_name": "PAUL",
"middle_name": "MARCUS",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801033155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.