Kimberly Abraham, PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

KIMBERLY ABRAHAM, PLLC

Practice address

335 Sunrise Dr
Flushing, MI 48433-2125

Phone

(810) 813-2105

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Kimberly Abraham, LMDWNPI 1770695710

Title

Owner

Phone

(810) 813-2105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Abraham, LMSW

  • Social Worker
  • Grand Blanc, MI
  • NPI 1770695710
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1669086286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SUNRISE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332125",
            "telephone_number": "810-813-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SUNRISE DR",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332125",
            "telephone_number": "810-813-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ABRAHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-813-2105",
        "authorized_official_credential": "LMDW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noralee Kendell
• Taylor Kern
• Jennifer S Ketchum, CMT
• Aleta Renee Kidd, BEHAVIORAL ANALYST
• Matthew James Kieffer
• Jilliam Kimes
• Charlene Kinney
• Kiran Kinra, MD
• Kiran Kinra MD PLLC
• Martinique Nichole Kling, M.D.

• Social Worker in Flushing, MI
• Providers in Flushing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.