Individual provider Active NPI

Katrina Marie Milliken, LMSW

  • Clinical Social Worker
  • Chelsea, MI
National Provider Identifier
1619288636
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091358 Issued in MI
Practice address
1307 S Main St Ste B
Chelsea, MI 48118-1479
Phone
(248) 491-8840
Fax
(248) 592-7240
NPI assigned
Jun 24, 2010
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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 6801091358 MI Primary

Addresses

Primary practice location

1307 S Main St Ste B
Chelsea, MI 48118-1479

Mailing address

1307 S Main St Ste B
Chelsea, MI 48118-1479
Phone (248) 491-8840

Other names 1

  • Katrina Marie Lorenz 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
I20240308002282 MI Practitioner - Clinical Social Worker 7012353311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1307 S Main St
Suite B
Chelsea, MI 48118-1479

1307 S Main St B
Chelsea, MI 48118-1479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091358MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Katrina M Milliken PLLC Clinical CurrentSince Dec 27, 2023 Accepting new patients
Kelly Riley, PLLC Social Worker PastSince Apr 22, 2020 Accepting new patients

Locations

1307 S Main St
Ste B
Chelsea, MI 48118
Phone (248) 491-8840

134 W Middle St
Ste I
Chelsea, MI 48118
Phone (734) 719-0380

104 E Lake St
Ste C
South Lyon, MI 48178

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1619288636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 S MAIN ST STE B",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181479",
            "telephone_number": "248-491-8840",
            "fax_number": "248-592-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S MAIN ST STE B",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181479",
            "telephone_number": "248-491-8840",
            "fax_number": "248-592-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIKEN",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "LORENZ",
            "middle_name": "MARIE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.