Kimberly Koester, L.M.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SA0740002 Issued in MI

Practice address

2601 13TH St
Port Huron, MI 48060-6546

Phone

(810) 987-9100

Fax

(810) 987-9105

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialty

Clinical Social Worker

Education

Wayne State University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charities of Southeast MichiganGroup PAC ID 0042450553, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities of Southeast Michigan

  • Clinical Social Worker
  • Madison Heights, MI
  • NPI 1316283757
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1619326022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CANAL RD",
            "address_2": "TO",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381610",
            "telephone_number": "586-416-2300",
            "fax_number": "586-416-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 13TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606546",
            "telephone_number": "810-987-9100",
            "fax_number": "810-987-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "KIMBERLY",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "SA0740002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyne Lailani Klein
• Sherri Klenczar, CPNP
• Gloria Klinesteker, LLMSW
• Rachel Elizabeth Knorr, D.D.S.
• Courtni Joan Koehn
• Hannah Briann Kohler, APRN
• James Francis Kokenyesdi
• Deborah Louise Kokoszka, LMSW
• Alexandra Eva Kolcz
• Denis Koleci, RPH

• Clinical Social Worker in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.