Active NPI
Kathleen M Sapita, LMSW
- Clinical Social Worker
- Holt, MI
National Provider Identifier
1679826002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2190 Aurelius Rd Unit 737
Holt, MI 48842-5527 - Phone
- (616) 881-1058
- NPI assigned
- Oct 23, 2012
- Last updated
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Dole LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.