Individual provider Active NPI

Kathy Ann Spiegel, LMSW

  • Clinical Social Worker
  • Sandusky, MI
National Provider Identifier
1659545127
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094697 Issued in MI
Practice address
119 E. Sanilac Rd.
Suite 8
Sandusky, MI 48471
Phone
(810) 689-4846
Fax
(810) 958-1295
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X L1121506 MI
Clinical Social Worker 1041C0700X 6801094697 MI Primary

Addresses

Primary practice location

119 E. Sanilac Rd.
Suite 8
Sandusky, MI 48471

Mailing address

1017 S. Lakeshore Rd.
Carsonville, MI 48419
Phone (810) 689-4846

Other names 1

  • Miss Kathy Ann Griffith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L1121506MIMDSocial Worker
6801094697MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Therapy PLLC Clinical CurrentSince Nov 15, 2014 Accepting new patients
Millie a. Paterson, PLLC Clinical PastSince Dec 1, 2014 Accepting new patients

Locations

119 E Sanilac Rd
Ste 8
Sandusky, MI 48471
Phone (810) 689-4760

51 Austin St
Sandusky, MI 48471
Phone (810) 648-5244

Organizations & group practices 2

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1659545127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S. LAKESHORE RD.",
            "city": "CARSONVILLE",
            "state": "MI",
            "postal_code": "48419",
            "telephone_number": "810-689-4846",
            "fax_number": "810-958-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E. SANILAC RD.",
            "address_2": "SUITE 8",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "48471",
            "telephone_number": "810-689-4846",
            "fax_number": "810-958-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIEGEL",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "L1121506",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "GRIFFITH",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.