Individual provider Active NPI

Kathryn Cranston Dimeglio, LCSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1720236664
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092383 Issued in MI
Practice address
14194 Cardwell St
Livonia, MI 48154-4652
Phone
(248) 704-0172
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149010460 IL
Clinical Social Worker 1041C0700X 6801092383 MI Primary

Addresses

Primary practice location

14194 Cardwell St
Livonia, MI 48154-4652

Mailing address

14194 Cardwell St
Livonia, MI 48154-4652
Phone (248) 704-0172

Other names 1

  • Ms. Kathryn Cranston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 7, 2025 through Apr 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149010460ILMDClinical Social Worker
6801092383MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1720236664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14194 CARDWELL ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544652",
            "telephone_number": "248-704-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14194 CARDWELL ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544652",
            "telephone_number": "248-704-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMEGLIO",
        "first_name": "KATHRYN",
        "middle_name": "CRANSTON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010460",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CRANSTON",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.