Individual provider Active NPI

Kathryn A Cain-Torrez, LMSW ACSW

  • Clinical Social Worker
  • Ludington, MI
National Provider Identifier
1730178534
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KC057018 Issued in MI
Practice address
5705 W Johnson Rd
Ludington, MI 49431-1516
Phone
(231) 425-4414
Fax
(312) 425-4434
NPI assigned
Oct 14, 2005
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 KC057018 MI Primary

Addresses

Primary practice location

5705 W Johnson Rd
Ludington, MI 49431-1516

Mailing address

5705 W Johnson Rd
Ludington, MI 49431-1516
Phone (231) 425-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000468 MI Practitioner - Clinical Social Worker 9739157298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Associates LLCGroup PAC ID 0547403867, 7 clinicians

Practice addresses (Care Compare)

5705 W Johnson Rd
Ludington, MI 49431-1516
Phone (231) 425-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KC057018MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Associates LLC Clinical CurrentSince Jul 15, 2013 Accepting new patients
Lighthouse Professional Clinic, P.C. Clinical PastSince Feb 15, 2005 Accepting new patients

Locations

409 W Ludington Ave
Ste 30
Ludington, MI 49431
Phone (231) 425-4414

409 W Ludington Ave
Ste 307
Ludington, MI 49431
Phone (231) 843-8766

Organizations & group practices 2

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1730178534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 W JOHNSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311516",
            "telephone_number": "231-425-4414",
            "fax_number": "231-425-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 W JOHNSON RD",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311516",
            "telephone_number": "231-425-4414",
            "fax_number": "312-425-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN-TORREZ",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "LMSW ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "KC057018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.