Individual provider Active NPI

Katharine Malone Mudry, MSW

  • Clinical Social Worker
  • Northville, MI
National Provider Identifier
1609680677
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117643 Issued in MI
Practice address
670 Griswold St Ste 100
Northville, MI 48167-2687
Phone
(734) 325-8685
NPI assigned
Feb 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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 6851117643 MI Primary

Addresses

Primary practice location

670 Griswold St Ste 100
Northville, MI 48167-2687

Mailing address

670 Griswold St Ste 100
Northville, MI 48167-2687
Phone (734) 325-8685

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
6851117643MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Touchstone Healing Center Clinical CurrentSince Feb 16, 2025 Accepting new patients

Locations

670 Griswold St
Ste 100
Northville, MI 48167
Phone (734) 325-8685

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": "1738368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1609680677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GRISWOLD ST STE 100",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672687",
            "telephone_number": "734-325-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GRISWOLD ST STE 100",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672687",
            "telephone_number": "734-325-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDRY",
        "first_name": "KATHARINE",
        "middle_name": "MALONE",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.