Individual provider Active NPI

Karen Marie Wittkop, MSW, LLMSW

  • Social Worker
  • Newberry, MI
National Provider Identifier
1659829067
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6081097738 Issued in MI
Practice address
14126 County Road 428
Newberry, MI 49868-7762
Phone
(906) 233-1322
NPI assigned
Sep 14, 2016
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6081097738 MI Primary

Addresses

Primary practice location

14126 County Road 428
Newberry, MI 49868-7762

Mailing address

14126 County Road 428
Newberry, MI 49868-7762
Phone (906) 233-1322

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
I20220914000796 MI Practitioner - Clinical Social Worker 0547645491 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6081097738MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schoolcraft Memorial Hospital Current Accepting new patients

Locations

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1659829067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14126 COUNTY ROAD 428",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498687762",
            "telephone_number": "906-233-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14126 COUNTY ROAD 428",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "498687762",
            "telephone_number": "906-233-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTKOP",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "MSW, LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6081097738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, MI

Sources for this page

Verify at the official NPI Registry.