Individual provider Active NPI

Kayla M Szatkiewicz, LMSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1669017240
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119431 Issued in MI
Practice address
3180 Racquet Club Dr Ste G
Traverse City, MI 49684-4797
Phone
(231) 933-4009
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 6801119431 MI Primary

Addresses

Primary practice location

3180 Racquet Club Dr Ste G
Traverse City, MI 49684-4797

Mailing address

3180 Racquet Club Dr Ste G
Traverse City, MI 49684-4797
Phone (231) 933-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801119431MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1669017240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 RACQUET CLUB DR STE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844797",
            "telephone_number": "231-933-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 RACQUET CLUB DR STE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844797",
            "telephone_number": "231-933-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZATKIEWICZ",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.