Active NPI
Kathy Ann Spiegel, LMSW
- Clinical Social Worker
- Sandusky, MI
National Provider Identifier
1659545127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801094697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1121506 | MI | MD | Social Worker |
| 6801094697 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Therapy PLLC | Clinical | Current | Accepting new patients |
| Millie a. Paterson, PLLC | Clinical | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.