Kaitlyn Grangood, LMSW, CBIS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801100275 Issued in MI

Practice address

415 Munson Avenue
Ste 101
Traverse City, MI 49686

Phone

(231) 486-6330

Fax

(231) 486-6329

NPI assigned

Nov 29, 2016

Last updated

Jan 18, 2019By 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 2

Addresses

Other names 1

• Kaitlyn Niemi Former name

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeview Counseling PCGroup PAC ID 5597667683, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeview Counseling P.C.

  dba Lakeview Counseling

  • Community/Behavioral Health Agency
  • Traverse City, MI
  • NPI 1316009012
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1629511316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MUNSON AVENUE",
            "address_2": "STE 101",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-486-6330",
            "fax_number": "231-486-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MUNSON AVENUE",
            "address_2": "STE 101",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-486-6330",
            "fax_number": "231-486-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGOOD",
        "first_name": "KAITLYN",
        "credential": "LMSW, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801100275",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801100275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "NIEMI",
            "credential": "LMSW, CBIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Grand Traverse Womens Clinic
• Grand Traverse Womens Clinic
• Grand Traverse Womens Clinic PLLC
• Grandview Dental Associates PLLC
• Grandview Dental Care PLLC
• Carrie Lee Grant
• Grapevine Denture Service
• Gwendolyn M Gravelie, MD
• Kathryn A Gray, R.N., F.N.P.
• Natalie A Gray, MD

• Clinical Social Worker in Traverse City, MI
• Providers in Traverse City, 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 Jan 18, 2019; 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.