Individual provider Active NPI

Kimberly Marie Sanderson

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1659044683
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
8161 S Saginaw St
Grand Blanc, MI 48439-1825
Phone
(810) 955-6081
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 Primary

Addresses

Primary practice location

8161 S Saginaw St
Grand Blanc, MI 48439-1825

Mailing address

4494 Warwick Circle Dr
Grand Blanc, MI 48439-8337
Phone (810) 955-6081

Other practice location 1

412 E 1st St
Flint, MI 48502-1901
Phone (810) 236-7508

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
I20230501000433 MI Practitioner - Clinical Social Worker 9133584907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum BalanceGroup PAC ID 9739418351, 6 clinicians

Practice addresses (Care Compare)

1220 N Leroy St
Optimum Balance Counseling
Fenton, MI 48430-2760
Phone (810) 771-8969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Balance CurrentSince Apr 1, 2023 Accepting new patients
Kimberly Sanderson PLLC Clinical Current Accepting new patients
Reclaim Counseling PLLC Clinical CurrentSince May 30, 2026 Accepting new patients

Locations

1220 N Leroy St
Fenton, MI 48430
Phone (810) 487-9733

8161 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 955-6081

Organizations & group practices 3

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1659044683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 WARWICK CIRCLE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398337",
            "telephone_number": "810-955-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8161 S SAGINAW ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391825",
            "telephone_number": "810-955-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485021901",
            "country_code": "US",
            "telephone_number": "810-236-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.