Jessica Eileen Kaczmarczyk, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105962 Issued in MI

Practice address

1608 Lake St
Kalamazoo, MI 49001-3170

Phone

(269) 344-0202

NPI assigned

Dec 20, 2016

Last updated

May 10, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1649715160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 WELLINGTON RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490083988",
            "telephone_number": "269-945-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 LAKE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013170",
            "telephone_number": "269-344-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "778 Columbia Ave W",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490153028",
            "country_code": "US",
            "telephone_number": "269-350-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KACZMARCZYK",
        "first_name": "JESSICA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098371",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Justus, NP
• Jwala K C, MD
• K Valley Orthopedics PC
• K Valley Orthopedics PC
• Gael Glenn Kabell, MD
• Barbara A. Kafil
• Joshua Kagan, M.D.
• Dawn Kahmark
• Mary E Kaiser, MSN, NP-C, CWOCN
• Tina M Kaiser, P.T.

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, 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 May 10, 2021; 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.