Individual provider Active NPI

Kathleen M Sapita, LMSW

  • Clinical Social Worker
  • Holt, MI
National Provider Identifier
1679826002
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2190 Aurelius Rd Unit 737
Holt, MI 48842-5527
Phone
(616) 881-1058
NPI assigned
Oct 23, 2012
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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 NU Primary

Addresses

Primary practice location

2190 Aurelius Rd Unit 737
Holt, MI 48842-5527

Mailing address

2580 Sorority LN
Holt, MI 48842-9427
Phone (616) 881-1058

Other names 1

  • Kathleen M Dole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katie Dole LLC CurrentSince Jan 14, 2024 Accepting new patients

Locations

2190 Aurelius Rd
Unit 737
Holt, MI 48842
Phone (616) 881-1058

3410 Belle Chase Way
Ste 100
Lansing, MI 48911
Phone (616) 881-1058

800 E Ellis Rd
Ste 222
Norton Shores, MI 49441

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1679826002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 SORORITY LN",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429427",
            "telephone_number": "616-881-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 AURELIUS RD UNIT 737",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488425527",
            "telephone_number": "616-881-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPITA",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "DOLE",
            "middle_name": "M",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.