Kimberly Jill Byrd, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801087311 Issued in MI

Practice address

6997 Cranberry Lake Rd
Clarkston, MI 48348-4417

Phone

(248) 321-0445

NPI assigned

May 23, 2016

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1598112245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6997 CRANBERRY LAKE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484417",
            "telephone_number": "248-321-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6997 CRANBERRY LAKE RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484417",
            "telephone_number": "248-321-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KIMBERLY",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801087311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Buss, PT, DPT
• Chelsea Buzzitta, M.A.
• Byerly Enterprises II, LLC
• Byerly Enterprises, LLC
• Carl W Byerly, PH.D.
• Kevin Sean Byrne, DPT
• Kimberly Cabe, FNP
• Ricardo Q. Cabrera, M.D.
• Jennifer Ann Callender-Wright, OTR/L
• Alexander Calvert, LMSW

• Social Worker in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.

Verify at the official NPI Registry.