Individual provider Active NPI

Kathryn Holden Sheffler, LMSW

  • Social Worker
  • Milford, MI
National Provider Identifier
1649549452
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801086740 Issued in MI
Practice address
1201 N Milford Rd Ste C
Milford, MI 48381-1070
Phone
(248) 310-7086
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086740 MI
Social Worker 104100000X 6801086740 MI Primary

Addresses

Primary practice location

1201 N Milford Rd Ste C
Milford, MI 48381-1070

Mailing address

1201 N Milford Rd Ste C
Milford, MI 48381-1070
Phone (248) 310-7086

Other names 1

  • Kathryn Holden 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
I20120327000162 MI Practitioner - Clinical Social Worker 8022275171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 N Milford Rd
Suite C
Milford, MI 48381-1070
Phone (248) 310-7086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Well Counseling Clinical CurrentSince Nov 8, 2012 Accepting new patients

Locations

1203 N Milford Rd
Ste C
Milford, MI 48381
Phone (248) 563-1571

1201 N Milford Rd
Ste C
Milford, MI 48381
Phone (248) 310-7086

1181 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 310-7086

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": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1649549452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N MILFORD RD STE C",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811070",
            "telephone_number": "248-310-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MILFORD RD STE C",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811070",
            "telephone_number": "248-310-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFLER",
        "first_name": "KATHRYN",
        "middle_name": "HOLDEN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086740",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801086740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HOLDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.