Laurie B. Kimmel, LMSW, Acsw, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801057192 Issued in MI

Legal business name

LAURIE B. KIMMEL, LMSW, ACSW, PLLC

Practice address

5596 Fox Hunt LN
West Bloomfield, MI 48322-1639

Phone

(248) 660-4637

Fax

(636) 582-5957

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Laurie Kimmel, LMSWNPI 1831129832

Title

Clinical Social Worker

Phone

(248) 660-4637

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Laurie B Kimmel, LMSW

  • Social Worker
  • West Bloomfield, MI
  • NPI 1831129832
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1710226352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5596 FOX HUNT LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221639",
            "telephone_number": "248-660-4637",
            "fax_number": "636-582-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5596 FOX HUNT LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221639",
            "telephone_number": "248-660-4637",
            "fax_number": "636-582-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE B. KIMMEL, LMSW, ACSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-660-4637",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801057192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CA",
            "identifier": "OP1240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven M Lash, DDS
• Howard Stephen Lasser, M.D.
• Ashley Laurain
• Victoria Laurenzi-Jump
• Matthew Laurich, D.D.S
• Latiya Laviolette
• Lawrence L .Stocker MD PC
• Lawrence M Dell, MD, PC
• Ann Lazar
• Joan Frances Lazar, MA, LLP, LPC

• Community/Behavioral Health Agency in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.